Use of Figueiredo’s technique for treating extensive infected skin lesions – a case report

Authors

  • André Cipriano Saraiva Gomes Hospital Português de Beneficiência em Pernambuco, Recife, Brazil https://orcid.org/0000-0003-2822-5546
  • Isanio Vasconcelos Mesquita Universidade Estadual do Piauí, Teresina, PI, Brazil https://orcid.org/0000-0002-8010-2191
  • Péricles Saraiva Leitão Júnior Universidade Federal do Maranhão, MA, Brazil
  • Lucas Kaled Milhomem Malaquias de Oliveira niversidade Federal do Maranhão, MA, Brazil
  • Vicente de Sousa Dias Neto Universidade Federal do Maranhão, MA, Brazil
  • Filipe Henrique Soares Silva Silva Universidade Federal do Maranhão, MA, Brazil

DOI:

https://doi.org/10.30795/jfootankle.2024.v18.1728

Keywords:

Skin lesion, Polypropylene; Wound healing

Abstract

Demonstrate that a low-complexity surgical technique can effectively solve problems of extensive skin lesions in cities where microsurgical techniques are not available. We present a 59-year-old male patient with diabetes mellitus and an extensive and infected lesion in his right ankle region, suggestive of a diabetic foot. Urgent surgical treatment was performed with debridement of the devitalized tissues, drainage of a large amount of purulent secretion, and exhaustive washing with 0.9% saline solution. After a new debridement, abundant washing with 0.9% saline solution and coverage of the extensive bloody area with a polypropylene prosthesis were performed. He remained under outpatient follow-up, and subsequently, twice, new cleanings were performed, and a small diameter mesh was applied due to the good evolution of healing. A good range of motion was maintained in the right ankle and foot, with the medial wound completely healed, leaving only a small area of the lateral wound to complete the healing process. Figueiredo’s technique, described in 2017 for fingertip lesions, uses a flexible thermoplastic polymer, which can be obtained from a small portion of silicone from a saline bag, to form a semi-occlusive dressing that allows the drainage of secretions and provides a favorable environment and temperature for healing. The exact limits of this technique are not yet well established, but the practice has shown excellent results in larger lesions. Figueiredo’s technique is a simple, low-cost, and effective option for treating extensive infected skin lesions. Level of Evidence IV; Therapeutic studies; Case Report.

Downloads

Published

2024-05-14

How to Cite

Gomes , A. C. S., Mesquita, I. V., Leitão Júnior, P. S., Oliveira , L. K. M. M. de, Dias Neto , V. de S., & Silva, F. H. S. S. (2024). Use of Figueiredo’s technique for treating extensive infected skin lesions – a case report. Journal of the Foot & Ankle, 18(1), 124–127. https://doi.org/10.30795/jfootankle.2024.v18.1728