Lower right image is stage 4 pressure sacral ulcer in a 64 year old diabetic, with recent intertrochanteric hip fracture. Wound with tunneling measures 175 sq cm. Had wound vac for 4 months. Note local fecal contamination.
Upper right image is result after 7 treatments with Perilav and two local debridements. Patient on Eliquis
Lower right image is 6 week outcome; wound diminished to 80 cm sq. Sacral bone is nearly covered.