The initial presentation to our clinic was due to chronic ulcerations on both lower legs caused by chronic venous insufficiency.
Initially, surgical wound care was performed with wound debridement and subsequent defect coverage of the soft tissue defects with a split skin graft. The patient was discharged from the inpatient treatment with almost completely healed split skin grafts.
However, in the course of further outpatient treatment, the wound situation on the foot now worsened.
The patient did not wish to have the wound surgically repaired. Under conservative wound treatment with regular dressing changes (every 2 days: Lomatuell, PVP-iodine, compresses, absorbent cotton, elastic wrapping) the wound showed no significant healing tendency. Hoping to improve the wound situation and stimulate the healing process, we started cold plasma therapy additively after two debridements.
Regular (initially min. 1 x/week) cold plasma treatment of the wound was performed over a period of two months.
The development of the wound situation can be seen in the attached picture material and speaks for itself.