ABSTRACT
Wound healing depends on many factors categorized into local and
systemic. Old age, male sex, diabetes, obesity and chronic kidney
diseases are some of the systemic factors while infection and precarious
vascularity is local factor affecting wound healing adversely. Massive
wound on foot require flap developed from either local distant site
which itself is a morbid condition. We present a case of unexpected
wound healing in 82 years old female with multiple comorbidities with
fulminant cellulitis with help of proper planning, negative pressure
wound therapy and placental extract gel. In addition to surgical
management, medical management should be considered for appropriate
healing. Adequate protein in the diet is required to match the catabolic
state of the patient and regular counselling and encouragement of the
patient is necessary to relieve the stress.
Keywords : Cellulitis, Abscess, NPWT, VAC therapy, Chronic
suppressive antibiotic therapy