Clinical Case Study - Surgical Wound - Avance® Solo

Clinical Challenge

To promote healing of a wound located in a high tension and very mobile area.

Patient and Wound History

• 83-year-old male.
• Medical history of hypertension, chronic lymphocytic leukaemia, chronic kidney disease.
• Excision of 3 malignant melanomas from the left shoulder; excised as 1 lesion (boomerang shape) with some undermining to allow for closure with 2-layer subcuticular sutures.

Intervention and Treatment Regime

• Avance® Solo (intervention), a portable single use negative pressure wound therapy (NPWT) system, was chosen to provide effective exudate management (wound drainage transferred to canister to prevent accumulation in wound) and support faster healing of a wound in a difficult-to-dress area.
• Avance® Solo Border dressing (foam) was placed over the closed incision and the NPWT pump/ canister attached.
• Dressings were changed weekly.

Wound Progression

Clincian's Perspective

Avance® Solo NPWT facilitated the healing of an irregular shoulder wound in a high tension and very mobile area. The fragile closed incision benefited from an additional 7 days of Avance Solo NPWT.

Dr Ibby Younis Consultant Plastic Surgeon, University College Hospitals NHS Trust, London, UK

^{Acknowledgement: This case study report has been prepared by Mölnlycke’s Global Medical Affairs team and is distributed with permission of the responsible clinician.}