Healing of Chronic Surgical Wound with Topical Herbal HLQ Ointment
The patient, a 45-year-old, underwent thigh amputation following a vehicular trauma. Despite initial medical intervention, the surgical site wound showed reluctance to heal, resulting in an open deep wound. Over a period of three months, various brands of topical antibiotics were administered, but the wound remained unresolved.
In pursuit of alternative treatment options, the patient sought care at our clinic. Topical herbal HLQ ointment was prescribed and applied daily to the wound site.
Following the initiation of topical herbal HLQ ointment, significant improvement was observed in the wound healing process. New tissue formation was evident, indicating the commencement of wound repair. Epithelial cells at the wound edges began to multiply and migrate across the wound bed, facilitating coverage of the wound area.
The application of topical herbal HLQ ointment proved to be effective in promoting wound healing. The once stagnant wound exhibited signs of progress, with the formation of new tissue and epithelial cell migration observed. Continued application of the herbal ointment is anticipated to facilitate complete wound closure and resolution.
Several factors can impede wound healing, particularly in relation to circulatory issues on amputation cases:
- Impaired Blood Flow: The trauma from the amputation can damage or disrupt blood vessels, leading to compromised blood circulation to the wound site. Reduced blood flow diminishes the delivery of oxygen and nutrients essential for wound healing, slowing down the process.
- Ischemia: In severe cases, the trauma may cause ischemia, a condition characterized by insufficient blood supply to tissues. Ischemia can lead to tissue necrosis, hindering wound healing and increasing the risk of infection.
- Thrombosis: Blood clot formation within damaged or constricted blood vessels can further exacerbate circulatory issues. Thrombosis impedes blood flow and may lead to tissue ischemia or even arterial occlusion, severely impairing wound healing.
- Edema: Trauma-induced inflammation and compromised lymphatic drainage can result in edema, the accumulation of fluid in tissues. Edema increases tissue pressure, compressing blood vessels and impeding blood flow, thus hindering wound healing.
- Compromised Collateral Circulation: The amputation may disrupt collateral circulation, alternative pathways for blood flow that compensate for impaired primary circulation. Impaired collateral circulation diminishes the supply of oxygen and nutrients to the wound, delaying healing.
The wound healing process is a complex biological event. In cases of chronic surgical wounds resistant to conventional treatment modalities, the utilization of alternative therapies such as topical herbal ointments can offer promising outcomes. The successful healing of the patient’s wound highlights the potential efficacy of herbal interventions in promoting wound repair and closure. Further research and clinical studies may elucidate the optimal use of herbal remedies in wound management protocols.
Privacy
In situations where the disease information had already been made publicly available (as evidenced by prior articles), genuine names of individuals have been utilized. Conversely, in instances where there was no pre-existing public disclosure or at the explicit request of patients for privacy, pseudonyms have been employed. Furthermore, identities have been deliberately obscured, and certain contextual details and diagnoses have been modified to hinder any attempts at identification. It is essential to emphasize that the patients and encounters described in this work are authentic, and their consent for publication was duly obtained. As responsible authors, we earnestly implore all our readers to honor the privacy and confidentiality of these individuals. Additionally, certain scenarios, assessments, and clinical interventions have been altered to safeguard the anonymity of both patients and healthcare providers.
