A 69 y/o male patient with the history of venous ulcer that failed multiple treatments. For 7 years, the patient had untreatable chronic right lower limb venous stasis that progressed into leg ulceration. Four years ago, the skin ulceration aggravated, and local exudation occurred.

Comorbidities: 20-year history of hypertension, self-administered antihypertensive drug treatment; history of cerebral infarction for more than 10 years, slurred speech

Figure 1.  Intraoperative debridement photo – Debridement and VSD Coverage (Vacuum sealing drainage: negative pressure with micro hole dressing)

Figure 2A.  7 days after VSD dressing removal and Vaseline gauze application

Figure 2B.  Covered with BloodSTOP iX

Figure 3A.  3 days after initial application of BloodSTOP iX

Figure 3B.  Reapply BloodSTOP iX

Figure 4A.  5 days after initial application of BloodSTOP iX

Figure 4B.  Reapply BloodSTOP iX

Figure 5A.  7 days after initial application of BloodSTOP iX

Figure 5B.  Reapply BloodSTOP iX

Figure 6.  9 days after initial application of BloodSTOP iX and reapplication

Figure 7A.  11 days after initial application of BloodSTOP iX

Figure 7B.  Reapply BloodSTOP iX

Figure 8.  On the 13th day after initial application of BloodSTOP iX, wound surface was epithelialized and covered

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