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.

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.