Case Report on the Treatment of Pressure Ulcers and Wounds in Oncological Patients

1. Introduction Pressure ulcers and surgical wounds represent a significant challenge in oncological patients and those with limited mobility, as these lesions can hinder the planning and timing of cancer treatments. Effective wound management is essential to reduce complications and accelerate healing. In this case report, we present two cases of patients with complex lesions treated with a dressing protocol based on hyaluronic acid and collagen. The purpose of this case report is to document the efficacy of this approach in promoting healing and allowing the timely initiation of cancer treatments. 2. Clinical Cases 2.1. Case 1 A 48-year-old Caucasian man with paraplegia secondary to spinal trauma was admitted with a diagnosis of “sub-occlusive bowel obstruction and complicated perianal abscess.” The patient was initially treated with hydration, antibiotics, and fasting, but the clinical condition worsened, necessitating urgent surgery. A resection of the sigmoid colon and rectum using the Hartmann procedure was performed, with a histological diagnosis of infiltrating squamous cell carcinoma. In the postoperative period, the patient received outpatient dressings with an ointment containing hyaluronic acid and bacterial collagenase to prepare the wound bed. After approximately ten days a dressing based on equine collagen was added, resulting in complete wound healing within 25 days.