Guidelines For Use

Application Tips:

• Arterial perfusion disorders usually start below the knee. If there is no arterial occlusion, the Ligasano® White bandage can serve your patient very well.
• Locally treat the leg or foot legion with Ligasano® White. The Ligasano® White bandage (300x10x0.3cm) stimulates the blood flow.
• The Ligasano® White bandage with a width of 5 or 10cm is applied like a normal padding bandage. Thus you achieve padding and promotion of blood flow at the same time.

Application Tips:

• The arterial-venuos leg ulcer is particularly difficult to treat, because on the one hand the required blood flow is missing and it is additionally hindered by compression measures due to insufficient drainage.
• Fill the wound with Ligasano® White. Cover wound, overlapping wound edges by at least 2cm, with another piece of Ligasano® White.  Wound seepage will be prevented by regular dressing changes.
• Apply the Ligasano® White bandage 5 or 10cm wide, just like normal padding bandage under the compression dressing or the compression stocking.  You achieve padding and promotion of blood flow at the same time.

A burn is a traumatic damage of the skin by the effect of heat (flames, liquids, electricity).  The treatment of the burned wound goes its depth and dimension.  The dimension of the burn is indicated by the prat of the affected skin in relation to the body surface in percentage.  A large burn are is considered to be 20% of the body’s surface

Burns are classified in three degrees of severity and results of the depth of the damaged skin:

1° burn: painful erythema as a result of oedema of the epidermis and hyperaemia of the corium.  Prognosis: spontaneous healing without scarring.

2° burn: dermis is damaged. It is further classified in superficial (2a°) and deep (2b°) burns.

2a° burn: the epidermis is destroyed until the superficial corium layer, cutaneous appendages (hair, nails) and glandulas are preserved and intact.  Formation of blisters caused by albuminous exudation of liquid between   corium and epidermis.  Prognosis: spontaneous healing without scarring.

2b° burn: at deep second-degree burns the damage goes up to the deep layers of the corium, with a distinct reduction of sensibility and beginning circulatory disturbance of the subcorial dermal vascular net.  Prognosis: healing with scarring, depending on its extension in the depth.  Possibly chirurgical wound treatment and transplantation is necessary.

3° burn: subdermal burn, combustion necrosis of all layers of epidermis and dermis including cutaneous appendages.  White-brown or black discoloration of the often leather-like skin.  The sensibility is completely lapsed, because the nerve endings, which are lying under the skin, are burned.Prognosis: spontaneous healing is not possible.  Surgical excision and wound covering with skin grafts is mostly not avoidable.

The burn wound itself is classified in three zones, the hyperaemic

1, the stasis 2 and the coagulation 3 zones.

The coagulation zone is the central part of the burn wound.  The

hole are is characterised by denaturation and necrosis; there is no

blood circulation.  The tissue is unable to regenerate itself.

The stasis zone follows directly coagulation zone.  Here metabolism and blood circulation are highly constricted.  Initially the cells are still active, but if the stasis continues for a longer time, the cells collapse, caused by vasoconstriction, swelling of

endothelial cells, platelet thrombus, fibrin deposition, amongst others.  Further damage of this zone, caused eg. By pressure or infection, may lead at any time to change to the coagulation zone.

The hyperaemic zone is localised at the exterior border of the burn wound and appears as a red zone.  With pressure the tissue colours to white, and becomes red at decompression again.

Microcirculation and metabolism are defective, the cells of this zone are hardly destroyed and the tissue is able to regenerate itself completely.

Application Tips:

• Remove burnt flesh where possible either by surgery or manually with scissors.
• Give pain medication if necessary before doing the dressing

• Place debriding gel over the wound area and lay Ligasano^®White directly onto the wound bed. The aim is the have the Ligasano® in direct contact with the wound area, including the wound edges.
• Hold firmly with adhesive tape or a bandage.

• Change Ligasano® as required during the early stages of healing as frequently as needed, but no longer than 24 hours
• Then continue to change daily until healed.

• Air Permeable fixation.
• The Ligasano® white bandage should stay in situ, but can be fixed by use of a tubular net bandage or stocking.

Application Tips:

• Completely fill the wound with Ligasano® White. Cut Ligasano® White about 2cm larger than wound diameter.  Insert Ligasano® White into the wound with slight compression.  The aim is the have the Ligasano® White in direct contact with the wound area, including the wound edges.
• Pack the wound out with additional 1 or 2cm Ligasano® White to ensure the wound area is completely filled. Measured from the bottom of the wound, Ligasano® must be at least 2cm thick.
• Generously cover the wound environment with 1 or 2cm thick Ligasano® White for local promotion of blood flow.
• Air Permeable fixation.

Application Tips:

• Explore direction and depth of the wound, so that you can reach the bottom of the wound.
• Completely fill the wound with Ligasano® White wound strip or mini wound with slight compression. The wound strip should assume a zigzag pattern in the wound.  The aim is to have the Ligasano® White in direct contact with the wound area, including the wound edges.
• Leave a tail of the Ligasano® White outside the wound, this will prevent a premature, superficial closure of the wound.
• Generously cover the wound environment with 1 or 2cm thick Ligasano® White for local promotion of blood flow.
• Air Permeable fixation.
• The Ligasano® white bandage should stay in situ, but can be fixed by use of a tubular net bandage or stocking.

Application Tips:

• Explore direction and depth of the wound, so that you can reach the bottom of the wound.
• Completely fill the wound with Ligasano® White. Cut Ligasano® White about 2cm larger than wound diameter.  Insert Ligasano® White into the wound with slight compression.
• The aim is the have the Ligasano® White in direct contact with the wound area, including the wound edges.
• Pack the wound out with additional 1 or 2cm Ligasano® White to ensure the wound area is completely filled. Measured from the bottom of the wound, Ligasano® White must be at least 2cm thick.
• Generously cover the wound environment with 1 or 2cm thick Ligasano® White for local promotion of blood flow.
• Air Permeable fixation.

Application Tips:

• Cover the wound environment with 1 or 2cm thick Ligasano® White, with a wound edge overlap of at least 1 to 2cms.
• Ensure during fixation that complete contact with the wound is achieved in deeper locations of the wound.
• Generously cover the wound environment with a second piece 1 or 2cm thick Ligasano® White, with an overlap of at least 1 to 2cms of the first application of Ligasano® White for local promotion of blood flow
• Air Permeable fixation.

Application Tips:

• Typically a venous leg ulcer is a very heavily exudating wound.
• The main aim is to absorb great amounts of exudate and prevent it from overflowing the wound edges.
• Fill the heavily exudating wound with 2cm thick Ligasano® White covering the wound edges by overlapping at least 2cms.
• Ensure during fixation that complete contact with the wound is achieved in deeper locations of the wound.
• Generously cover the wound environment with a second piece 1 or 2cm thick Ligasano® White, with an overlap of at least 2cms beyond the wound edges, promotion of blood flow.
• The Ligasano® dressing should be changed as soon as exudation is seen through the 2^ndLigasano® covering.
• The concomitant treatment (compression bandage, compression stocking) can be carried out as usual.