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