An 82-year-old female patient presented to the Plastic surgery outpatient clinic with a two-year history of a non-healing ulcer over her suprapubic area. Her past medical history included a right haemicolectomy three years previously. She was not on aspirin or anticoagulant therapy. To obtain a histological diagnosis, an incisional biopsy was carried out under local anaesthetic (2% xylocaine and 1:80 000 adrenaline) using a 3 mm punch. The wound was noted not to be bleeding and was dressed with an alginate dressing (Kaltostat™), covered with gauze and an outer occlusive dressing. The wound remained clean and dry at the time of discharge, 1 h postop.
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Published online: March 12, 2007
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.