Case report

LECZENIE RAN 2025; 22 (1)

The risk of developing a foot ulcer in a diabetic patient is 30%. The long duration of the ulcer, its traumatic etiology, significant depth of the wound and ischemia of the lower limbs promote infection. Infection of the wound in 60% of cases precedes amputation of the limb, and infections may affect up to 80% of patients with foot ulcers. Amputations affect the quality of life due to the lack of acceptance of one’s appearance and disability. Care for a patient with a chronic wound should be provided by qualified personnel in a systematic and planned manner, also in the home environment. The paper attempts to draw attention to the systematic assessment of the wound condition and intensive nursing care, which allows for a quick response and adap-tation of the therapeutic procedure to the current clinical condition and reduces the need for amputation.

LECZENIE RAN 2023; 20 (2)

Infrared thermography (IRT) is a non-invasive method that enables remote and non-contact assessment of temperature distribution on the surface of the body. In the prevention and treatment of chronic wounds, it allows accurate tracking of the thermoregulatory process in the limb or the whole body along with mapping the body surface temperature.

LECZENIE RAN 2023; 20 (2)

Leśniowski-Crohn’s disease is a risk factor for surgical site infection. We present a case of a 62-year-old patient with complicated Leśniowski-Crohn’s disease. Due to the acute phase of the disease, local advancement of the inflammatory process, the presence of peristomal fistulas and abscesses, as well as parastomal hernia, the patient developed a deep surgical site infection, requiring three re-operations. In the case of numerous, large wounds covering a large area of ​​the abdominal wall with the presence of a stoma, the use of negative-pressure therapy with instillation allows for the optimization of the wound treatment and healing process. Separating the stoma as a source of (…)