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Tecasorb application instruction video

Tecasorb application instruction video

Every patient must be educated about their treatment and given proper instructions.

What material is used in Tecasorb
What is the purpose of using this material
How is this material used to manage various types of wounds
Black colouring of Tecasorb is neither harmful nor dangerous for the patient
If there are residues of black fibres left in the wound or the adjacent area, they should be carefully removed, however, they are not dangerous and cause no adverse skin reaction.
At the beginning it is possible to use Tecasorb on a daily basis, and as the wound is healing, the dressing may be changed once in 2 to 4 days

Every video starts with the same scene:

Close-up to a table with treatment tools and materials:

Gloves, gauze pads, wooden blades
Various types of solutions used to cleanse the wound during the dressing change (including iodine preparation, which, however, is not used with Tecasorb)
Debrisoft – special pad used to remove debris from the wound bottom
Indifferent ointments used to treat the adjacent area, such as zinc or camphor ointment
Hydrophilic bandage
Elastic short stretch bandage used in compression therapy
Tools used to treat the adjacent area (such as hyperkeratosis present in diabetic defects – malum perforans pedis), scissors, forceps, scalpel, single use curette (used to remove scales and crusts around the defect, that prevent healing)
Close-up to a package of 10 Tecasorb dressings, one is taken out before it is applied onto the wound
The bed is covered with a single-use paper sheet that is changed for every patient
The patient is positioned in a comfortable position to allow easy wound management

A male diabetic patient after repeated amputations

A male diabetic patient after repeated amputations – on the left in the metatarsal area, on the right – on the second, fourth and fifth toe

On both extremities defects developed on the soles due to malum perforans pedis.

Before applying Tecasorb it is necessary in some patients to remove hyperkeratosis from the adjacent area (as it decelerates healing) with sterile tools – scissors and forceps
The adjacent skin is covered with a thin layer of indifferent ointment (in this case camphor ointment)
Tecasorb dressing is applied
Hydrophilic bandage is applied on top
The same procedure is applied on the other leg
Compression bandage is not applied in this type of defects!
The patient is recommended to wear diabetic shoes or made to measure orthopaedic footwear

Patient with chronic venous insufficiency (CVI)

Patient with chronic venous insufficiency (CVI) and ulcus cruris on front left lower leg
Previously applied bandages and dressing materials are removed
Defects are covered with a gauze pad and the cleansing solution is sprayed on top
The gauze pad is left in the wound for about 5 to 10 minutes
Adjacent skin is covered with a thin layer of indifferent ointment (in this case camphor ointment)
Tecasorb dressing is applied
In case of suspected infection a sterile swab is taken from the defect to perform a microbiologic examination – as demonstrated on a minor defect
The adjacent skin is covered with a thin layer of indifferent ointment (in this case zinc ointment)
Tecasorb dressing is applied
Hydrophilic bandage is applied
In patients with varices and chronic venous insufficiency compression bandage is always applied at the end, starting at the toes and continuing at the heel and ankle towards the calf. Two bandages are normally used on the calf. The patient may also use compression stockings.

 

 

Patient with chronic venous insufficiency (CVI) and ulcus cruris on the front right lower leg.

Patient with chronic venous insufficiency (CVI) and ulcus cruris on the front right lower leg. Before Tecasorb therapy was induced, the patient used another material without significant effect

Previously applied bandages and dressing materials are removed
The defect is cleansed with a cleansing solution, in extensive defects covered with debris it is possible to use a shower first and then proceed with the cleansing solution.
The adjacent skin is covered with a thin layer of indifferent ointment (in this case camphor ointment)
Tecasorb dressing is applied
Hydrophilic bandage is applied
In patients with varices and chronic venous insufficiency compression bandage is always applied at the end. In this case a different technique of applying compression bandage was used compared with Video 2. The patient may also use compression stockings.

 

A severely obese patient with chronic venous insufficiency (CVI) and hypertonia

A severely obese patient with chronic venous insufficiency (CVI) and hypertonia, in this case the defects are of combined aetiology. On lower abdomen with extensive defects caused by sagging skin flabs Tecasorb application was followed by complete healing. Ulcerations are present on both lower legs.

Left lower leg:

The skin on the left lower leg is cleansed with gauze pads soaked in cleansing solution
The skin is dry with minor central crusts.
Scales and crusts are removed painlessly with a single use curette
Since there is no defect, the skin is covered with a thin layer of indifferent zinc ointment
Hydrophilic bandage is applied
Right lower leg:

The wound bottom of the minor defect is moistened with cleansing solution
The defect is then cleansed using Debrisoft, a special pad used to efficiently remove fibrin debris from the wound bottom
The adjacent skin is covered with a thin layer of indifferent ointment (in this case zinc ointment with olive oil)
Tecasorb dressing is applied
Hydrophilic bandage is applied
Compression bandage is applied at the end. Patient may also use compression stockings; in this case, however, it is complicated.

 

Patient with chronic venous insufficiency (CVI) and minor ulcerations on the front right lower

Patient with chronic venous insufficiency (CVI) and minor ulcerations on the front right lower leg. This is to show how the patient has been managing his defect improperly at home, decelerating healing. It was necessary to educate and instruct the patient again.

Removal of previously applied bandages
The wound has already been treated with Tecasorb, however, improperly
The patient had never applied compression bandage
He had not been cleansing the wound and the adjacent area properly
Thick scales developed and prevented healing
The defect was cleansed with a gauze pad soaked in cleansing solution
The adjacent skin in the diameter of up to 10 cm is infiltrated and slightly erythematous
There are visible crusts and scales that prevent healing
Scales are removed painlessly with a single use curette to uncover epithelised areas
The wound is cleansed with a disinfecting solution
The adjacent area is covered with a thin layer of indifferent zinc ointment
Tecasorb dressing is applied so as to cover all minor defects
Hydrophilic bandage is applied
Compression bandage is applied

Extensive defects on lower legs and also on lower abdomen, gluteal area, upper extremities, the head, and various types of pressure ulcers may be managed the same way. However, the consumption of Tecasorb and other materials is substantially higher.

In patients with CVI compression bandage should always be applied!!!

 

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