{"id":12508,"date":"2026-10-01T06:51:58","date_gmt":"2026-10-01T04:51:58","guid":{"rendered":"https:\/\/www.smrekovit.si\/?p=12508"},"modified":"2026-10-01T08:50:12","modified_gmt":"2026-10-01T06:50:12","slug":"documented-case-of-a-venous-leg-ulcer","status":"publish","type":"post","link":"https:\/\/www.smrekovit.si\/en\/venska-razjeda-goleni-dokumentiran-primer\/","title":{"rendered":"Venous leg ulcer in a 92-year-old patient \u2013 documented healing course"},"content":{"rendered":"<h2 id=\"primer-na-kratko\" class=\"wp-block-heading\">Case in brief<\/h2>\n\n\n\n\n\n\n<div class=\"translation-block case-summary\">\n\n  <dl class=\"case-summary__grid\">\n\n    <div class=\"case-summary__item\">\n      <dt>Patient<\/dt>\n      <dd>Male, 92 years old at the start of follow-up<\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Start of documented follow-up<\/dt>\n      <dd><time datetime=\"2026-03-02\">2 March 2026<\/time><\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Problem<\/dt>\n      <dd>Chronic lower-leg ulcer, with a course consistent with a venous leg ulcer<\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Duration before Smrekovit Klasik<\/dt>\n      <dd>According to the family, about one and a half months<\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Previous care<\/dt>\n      <dd>Saline solution, ointment according to medical instructions and later zinc dressings<\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Important associated factors<\/dt>\n      <dd>Heart failure, treatment with Marevan and borderline elevated blood sugar<\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Use of Smrekovit Klasik<\/dt>\n      <dd>On sterile non-woven gauze, with regular dressing changes and photographic monitoring<\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Final status<\/dt>\n      <dd><time datetime=\"2026-09-29\">29 September 2026<\/time> \u2013 the wound was practically closed, with epithelialisation of the area<\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item case-summary__item--wide\">\n      <dt>Documentation<\/dt>\n      <dd>Time-stamped written correspondence, serial photographic monitoring and an anonymised public case report<\/dd>\n    <\/div>\n\n  <\/dl>\n\n  <p class=\"case-summary__note\">\n    Smrekovit Klasik was used as part of the wound care. This case shows the\n    documented course of one chronic lower-leg ulcer and does not represent a\n    clinical study or proof of the isolated effect of one intervention.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n\n<div class=\"wp-block-rank-math-toc-block toc\" id=\"rank-math-toc\"><h2>Table of contents<\/h2><nav><ul><li class=\"\"><a href=\"#primer-na-kratko\">Case in brief<\/a><\/li><li class=\"\"><a href=\"#izhodisce-in-predhodna-oskrba\">Baseline condition and previous care<\/a><\/li><li class=\"\"><a href=\"#uporaba-smrekovit-klasik-in-spremljanje-rane\">Use of Smrekovit Klasik and wound monitoring<\/a><\/li><li class=\"\"><a href=\"#fotografski-potek-rane\">Photographic course of the wound<\/a><\/li><li class=\"\"><a href=\"#druga-noga-in-zgodnje-spremembe-koze\">The other leg and early skin changes<\/a><\/li><li class=\"\"><a href=\"#kaj-primer-kaze-in-cesa-ne-kaze\">What the case shows and what it does not show<\/a><\/li><li class=\"\"><a href=\"#dokumentacija-in-omejitve-primera\">Documentation and limitations of the case<\/a><\/li><li class=\"\"><a href=\"#ce-vas-zanima-oskrba-odprte-rane\">If you are interested in caring for an open wound<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<h2 id=\"izhodisce-in-predhodna-oskrba\" class=\"wp-block-heading\">Baseline condition and previous care<\/h2>\n\n\n\n\n\n\n<div class=\"translation-block\">\n\n  <p>\n    The first photograph of the wound was sent on <strong>2 March 2026<\/strong>.\n    The case involved a 92-year-old male patient with a chronic wound on the\n    lower leg. According to the family, the wound had been open for about\n    <strong>one and a half months<\/strong> before Smrekovit Klasik was started.\n  <\/p>\n\n  <p>\n    Before that, the wound had been treated according to medical instructions.\n    The visiting nurse cleaned it with saline solution and applied an ointment,\n    the exact name of which had not been finally confirmed at the time this\n    report was prepared. According to the family, this care did not lead to\n    improvement.\n  <\/p>\n\n  <p>\n    A dermatology review was also carried out during this period. Zinc dressings\n    were applied, after which the condition reportedly worsened. The patient had\n    confirmed heart failure, was treated with Marevan, and his blood sugar was\n    described as borderline elevated.\n  <\/p>\n\n  <p>\n    Based on its appearance, location and course, the wound was consistent with\n    a chronic lower-leg ulcer of venous origin. However, because the full\n    medical record was not used in this public report, this is stated as a\n    clinical or observational interpretation based on the course, photographs\n    and family-provided information.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n\n<h2 id=\"uporaba-smrekovit-klasik-in-spremljanje-rane\" class=\"wp-block-heading\">Use of Smrekovit Klasik and wound monitoring<\/h2>\n\n\n\n\n\n\n<div class=\"translation-block\">\n\n  <p>\n    From the start of documented follow-up, <strong>Smrekovit Klasik<\/strong>\n    was used on sterile non-woven gauze. The gauze was placed directly onto the\n    wound with the ointment-covered side facing the wound, and dressing changes\n    were adjusted according to the wound condition and the amount of exudate.\n  <\/p>\n\n  <p>\n    Follow-up was carried out remotely, mainly through time-stamped messages and\n    serial photographs. The family regularly reported on pain, exudate, the\n    appearance of wound coverings, odour, bleeding and the gradual closing of\n    the wound surface.\n  <\/p>\n\n  <p>\n    In this type of follow-up, it is important not to interpret every change too\n    quickly. Yellowish coverings were treated as part of the wound process in\n    this case, while mechanical removal was not recommended. If signs of\n    infection, rapid deterioration, strong odour, fever or a marked increase in\n    pain appear, medical review is always appropriate.\n  <\/p>\n\n  <p>\n    The detailed practical procedure for open wounds is described separately in\n    the <a href=\"\/en\/instructions\/wounds\/\">instructions for wound care<\/a>. This case\n    shows how that approach was used in one concrete, documented course of a\n    chronic lower-leg ulcer.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n\n<h2 id=\"fotografski-potek-rane\" class=\"wp-block-heading\">Photographic course of the wound<\/h2>\n\n\n\n<div class=\"wp-block-group case-timeline\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-03-02\">2 March 2026<\/time>\n    <span>start of documented follow-up<\/span>\n  <\/div>\n\n  <h3>Chronic lower-leg ulcer at the start of follow-up<\/h3>\n\n  <p>\n    The first available photograph shows a chronic wound on the lower leg of a\n    92-year-old male patient. According to the family, the wound had already\n    been open for about <strong>one and a half months<\/strong> at that time.\n  <\/p>\n\n  <p>\n    Before Smrekovit Klasik was started, the wound had been treated according\n    to medical instructions, including saline solution and an ointment, and\n    later also zinc dressings after a dermatology review.\n  <\/p>\n\n  <p>\n    The photograph shows a chronic ulcer with surface coverings and irritated\n    surrounding skin. Based on its location, appearance and associated factors,\n    the course was consistent with a lower-leg ulcer in the context of impaired\n    circulation or venous insufficiency.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"1600\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/2.3.2026.jpg\" alt=\"Chronic lower leg ulcer in a 92-year-old patient on 2 March 2026, at the start of documented monitoring\" class=\"wp-image-12533\" style=\"width:500px;height:auto\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/2.3.2026.jpg 1600w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/2.3.2026-300x300.jpg 300w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/2.3.2026-1024x1024.jpg 1024w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/2.3.2026-150x150.jpg 150w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/2.3.2026-768x768.jpg 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/2.3.2026-1536x1536.jpg 1536w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/2.3.2026-12x12.jpg 12w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/2.3.2026-600x600.jpg 600w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/2.3.2026-100x100.jpg 100w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/figure>\n<\/div>\n\n\n\n\n\n<div class=\"translation-block\">\n  <p class=\"smrekovit-caption\">\n    2 March 2026 \u2013 initial state at the start of documented follow-up; according to the family, the wound had already been open for about one and a half months.\n  <\/p>\n<\/div>\n\n\n\n\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-03-27\">27 March 2026<\/time>\n    <span>25 days after the start of documented follow-up<\/span>\n  <\/div>\n\n  <h3>Yellowish coverings and mild odour caused concern<\/h3>\n\n  <p>\n    Twenty-five days after the start of documented follow-up, the family\n    expressed concern about yellowish coverings on the wound and a mild odour.\n    In chronic wounds, this type of appearance often creates uncertainty because\n    it is difficult to distinguish from signs of deterioration based on a\n    photograph alone.\n  <\/p>\n\n  <p>\n    In the communication, it was emphasised that the yellowish coverings should\n    not be removed mechanically unless there was a clear professional reason to\n    do so. At the same time, it was important to monitor whether the odour\n    increased, or whether marked redness, warmth, increased exudate, fever or\n    rapid deterioration of the general condition appeared.\n  <\/p>\n\n  <p>\n    This point is important because it shows one of the typical dilemmas in\n    remote follow-up of a chronic wound: some changes may be part of the wound\n    process, while signs of infection or deterioration still need careful\n    attention.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.3.2026-1.jpg\" alt=\"Chronic lower leg ulcer on 27 March 2026 with yellowish deposits on the wound surface\" class=\"wp-image-12553\" style=\"width:500px;height:auto\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.3.2026-1.jpg 1200w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.3.2026-1-225x300.jpg 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.3.2026-1-768x1024.jpg 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.3.2026-1-1152x1536.jpg 1152w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.3.2026-1-9x12.jpg 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.3.2026-1-600x800.jpg 600w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n<\/div>\n\n\n\n\n\n<div class=\"translation-block\">\n  <p class=\"smrekovit-caption\">\n    27 March 2026 \u2013 the photograph shows a phase with yellowish coverings and mild odour, which led the family to express concern about the wound course.\n  <\/p>\n<\/div>\n\n\n\n\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-04-09\">9 April 2026<\/time>\n    <span>38 days after the start of documented follow-up<\/span>\n  <\/div>\n\n  <h3>Visible signs of epithelialisation and the question of continuing care<\/h3>\n\n  <p>\n    In early April, the family considered whether it might be better to let the\n    wound \u201cdry out\u201d. In the communication, it was advised not to stop the care\n    too early, as the photograph already showed signs of gradual\n    <strong>surface closure<\/strong> and formation of new skin.\n  <\/p>\n\n  <p>\n    The wound was still in the healing process, but the affected area appeared\n    calmer than during the first weeks. It was important not to dry out the open\n    part too early and to protect the newly forming, sensitive surface.\n  <\/p>\n\n  <p>\n    This point is important because it marks the transition from a clearly active\n    chronic wound phase to a stage where gradual epithelialisation and surface\n    closure could already be seen.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/9.4.2026.jpg\" alt=\"Chronic lower leg ulcer on 9 April 2026 with visible signs of gradual closure of the wound surface\" class=\"wp-image-12519\" style=\"width:500px;height:auto\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/9.4.2026.jpg 1200w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/9.4.2026-225x300.jpg 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/9.4.2026-768x1024.jpg 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/9.4.2026-1152x1536.jpg 1152w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/9.4.2026-9x12.jpg 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/9.4.2026-600x800.jpg 600w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n<\/div>\n\n\n\n\n\n<div class=\"translation-block\">\n  <p class=\"smrekovit-caption\">\n    9 April 2026 \u2013 the affected area showed signs of gradual surface closure and formation of new skin.\n  <\/p>\n<\/div>\n\n\n\n\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-05-27\">27 May 2026<\/time>\n    <span>86 days after the start of documented follow-up<\/span>\n  <\/div>\n\n  <h3>Clearer change: fewer coverings, more granulation and less pain<\/h3>\n\n  <p>\n    By late May, a clearer shift was visible compared with previous follow-ups.\n    There were fewer yellowish coverings, and a larger part of the wound showed\n    the appearance of more active granulation tissue.\n  <\/p>\n\n  <p>\n    During this period, the family reported that pain was still present, but it\n    was more occasional and milder. This was important because in previous weeks\n    the patient had repeatedly described pain as a significant part of the\n    problem.\n  <\/p>\n\n  <p>\n    This checkpoint is important because, after a slow early course, a more\n    visible change in the wound appearance became apparent: fewer coverings,\n    more granulation and a clearer transition towards closure of the affected\n    area.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.5.2026.jpg\" alt=\"Chronic lower leg ulcer on 27 May 2026 with fewer deposits and more granulation tissue\" class=\"wp-image-12530\" style=\"width:500px;height:auto\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.5.2026.jpg 1200w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.5.2026-225x300.jpg 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.5.2026-768x1024.jpg 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.5.2026-1152x1536.jpg 1152w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.5.2026-9x12.jpg 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/27.5.2026-600x800.jpg 600w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n<\/div>\n\n\n\n\n\n<div class=\"translation-block\">\n  <p class=\"smrekovit-caption\">\n    27 May 2026 \u2013 compared with previous follow-ups, fewer coverings, more granulation tissue and a clearer transition towards wound closure were visible.\n  <\/p>\n<\/div>\n\n\n\n\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-06-20\">20 June 2026<\/time>\n    <span>110 days after the start of documented follow-up<\/span>\n  <\/div>\n\n  <h3>Most of the wound had already closed, while the lower part remained the most active<\/h3>\n\n  <p>\n    By the second half of June, the healing course had become much more evident.\n    Larger parts of the affected area were already covered with new skin, while\n    the lower part of the wound remained open or more active.\n  <\/p>\n\n  <p>\n    During this period, the family reported that the condition was visibly\n    better, and the patient was satisfied with the progress. Nevertheless, the\n    wound was not yet completely closed, so it remained appropriate to continue\n    protecting the sensitive area and monitoring the lower part of the wound.\n  <\/p>\n\n  <p>\n    This point is important because it shows the transition from an active\n    granulation phase to a stage where most of the surface had already\n    epithelialised, while the remaining open part still required further care.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/20.6.2026B.jpg\" alt=\"Chronic lower leg ulcer on 20 June 2026 with a mostly closed wound surface and a still active lower part\" class=\"wp-image-12527\" style=\"width:500px;height:auto\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/20.6.2026B.jpg 1200w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/20.6.2026B-225x300.jpg 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/20.6.2026B-768x1024.jpg 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/20.6.2026B-1152x1536.jpg 1152w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/20.6.2026B-9x12.jpg 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/20.6.2026B-600x800.jpg 600w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n<\/div>\n\n\n\n\n\n<div class=\"translation-block\">\n  <p class=\"smrekovit-caption\">\n    20 June 2026 \u2013 most of the affected area was already covered with new skin, while the lower part of the wound remained the most active.\n  <\/p>\n<\/div>\n\n\n\n\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-07-03\">3 July 2026<\/time>\n    <span>123 days after the start of documented follow-up<\/span>\n  <\/div>\n\n  <h3>The main wound was almost closed<\/h3>\n\n  <p>\n    In early July, the main lower-leg wound was almost completely closed. Most\n    of the affected area was covered with new skin, while only a smaller part\n    remained open or more sensitive.\n  <\/p>\n\n  <p>\n    At this stage, it was important to continue protecting the sensitive area,\n    as newly formed skin is not yet as resilient as mature skin. In chronic\n    wounds, even after near-complete closure, it may still be appropriate to\n    monitor whether the surface reopens, becomes irritated or produces exudate.\n  <\/p>\n\n  <p>\n    This point is important because it shows the transition from active healing\n    to the final phase of epithelialisation, when the wound no longer appeared\n    as an extensive open ulcer, but the process was not yet fully complete.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.7.2026.jpg\" alt=\"Chronic lower leg ulcer on 3 July 2026 with the main wound almost completely closed\" class=\"wp-image-12534\" style=\"width:500px;height:auto\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.7.2026.jpg 1200w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.7.2026-225x300.jpg 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.7.2026-768x1024.jpg 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.7.2026-1152x1536.jpg 1152w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.7.2026-9x12.jpg 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.7.2026-600x800.jpg 600w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n<\/div>\n\n\n\n\n\n<div class=\"translation-block\">\n  <p class=\"smrekovit-caption\">\n    3 July 2026 \u2013 the main wound was almost completely closed, with only a smaller part still open or sensitive.\n  <\/p>\n<\/div>\n\n\n\n\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-08-03\">3 August 2026<\/time>\n    <span>154 days after the start of documented follow-up<\/span>\n  <\/div>\n\n  <h3>The wound was almost completely closed<\/h3>\n\n  <p>\n    By early August, the main lower-leg wound was almost completely closed. The\n    affected area no longer had the appearance of an extensive open ulcer, but\n    mainly showed sensitive new skin and residual changes after a prolonged\n    healing process.\n  <\/p>\n\n  <p>\n    At this stage, the main focus was to continue gentle protection of the skin\n    and monitor whether any smaller sensitive areas reopened. After such a long\n    chronic wound course, newly formed skin remains fragile and less resistant\n    for some time.\n  <\/p>\n\n  <p>\n    This point is important because it shows that by early August the case had\n    moved from the phase of an open chronic ulcer into a stage of near-complete\n    closure, although it was still not appropriate to declare a fully final\n    state.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1600\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.8.2026.jpg\" alt=\"Chronic lower leg ulcer on 3 August 2026 with the wound almost completely closed and sensitive new skin\" class=\"wp-image-12536\" style=\"width:500px;height:auto\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.8.2026.jpg 1200w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.8.2026-225x300.jpg 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.8.2026-768x1024.jpg 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.8.2026-1152x1536.jpg 1152w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.8.2026-9x12.jpg 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/3.8.2026-600x800.jpg 600w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n<\/div>\n\n\n\n\n\n<div class=\"translation-block\">\n  <p class=\"smrekovit-caption\">\n    3 August 2026 \u2013 the main wound was almost completely closed; the image mainly showed sensitive new skin after a prolonged healing process.\n  <\/p>\n<\/div>\n\n\n\n\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-09-29\">29 September 2026<\/time>\n    <span>211 days after the start of documented follow-up<\/span>\n  <\/div>\n\n  <h3>Final follow-up: the wound was practically closed<\/h3>\n\n  <p>\n    The final photograph at the end of September shows that the open wound was\n    no longer clearly visible. At the site of the previous ulcer, mainly skin\n    changes, scarring and sensitive new skin remained after a prolonged healing\n    process.\n  <\/p>\n\n  <p>\n    Over several months of follow-up, a transition was documented from a chronic\n    open lower-leg ulcer to a state that was practically closed or epithelialised.\n    At the same time, the case shows that the course was slow, with periods of\n    pain, coverings, exudate, uncertainty and gradual surface closure.\n  <\/p>\n\n  <p>\n    This final point does not prove the isolated effect of one intervention, but\n    it clearly documents the course of one chronic lower-leg ulcer during the\n    period of Smrekovit Klasik use and regular wound care.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"1200\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/29.9.2026.jpg\" alt=\"Final condition of the chronic lower leg ulcer on 29 September 2026, with a closed surface and sensitive new skin\" class=\"wp-image-12532\" style=\"width:500px;height:auto\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/29.9.2026.jpg 1600w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/29.9.2026-300x225.jpg 300w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/29.9.2026-1024x768.jpg 1024w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/29.9.2026-768x576.jpg 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/29.9.2026-1536x1152.jpg 1536w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/29.9.2026-16x12.jpg 16w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/29.9.2026-600x450.jpg 600w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/figure>\n<\/div>\n\n\n\n\n\n<div class=\"translation-block\">\n  <p class=\"smrekovit-caption\">\n    29 September 2026 \u2013 final follow-up photograph; the open wound was no longer clearly visible, with mainly residual skin changes after prolonged healing.\n  <\/p>\n<\/div>\n\n\n\n\n\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<h2 id=\"druga-noga-in-zgodnje-spremembe-koze\" class=\"wp-block-heading\">The other leg and early skin changes<\/h2>\n\n\n\n\n\n\n<div class=\"translation-block case-section\" id=\"druga-noga\">\n\n  <p>\n    During follow-up of the main wound, early skin changes also appeared on the\n    other leg. The family photographed them on 20 June and in early July 2026,\n    because their appearance reminded them of the beginning of a similar process\n    to the one that had previously developed on the main wound.\n  <\/p>\n\n  <p>\n    Smrekovit Klasik was used on these areas early, before a larger open wound\n    could develop. According to later messages, these areas did not open into a\n    larger ulcer and did not progress in the same way as the original wound on\n    the other lower leg.\n  <\/p>\n\n  <p>\n    This part of the case cannot be interpreted as proof that a new ulcer was\n    prevented, because there was no control comparison and the early changes\n    could have settled for other reasons as well. It is nevertheless a practical\n    observation, as it shows that after the experience with the main wound, the\n    family began to monitor similar changes earlier and more carefully.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n\n<h2 id=\"kaj-primer-kaze-in-cesa-ne-kaze\" class=\"wp-block-heading\">What the case shows and what it does not show<\/h2>\n\n\n\n\n\n\n<div class=\"translation-block case-section\" id=\"kaj-primer-kaze\">\n\n  <p>\n    This case clearly shows that in a 92-year-old patient with a chronic\n    lower-leg ulcer, a several-month course was documented from an open, painful\n    wound with surface coverings to a state where the open wound was no longer\n    clearly visible. The course was followed with photographs and time-stamped\n    written communication with the family.\n  <\/p>\n\n  <p>\n    The case also shows that healing was not linear. There were periods of\n    stronger pain, concern about yellowish coverings, mild odour, slow reduction\n    of the open surface, granulation and gradual formation of new skin. In\n    chronic wounds, this is important because a single follow-up photograph does\n    not tell the whole story by itself.\n  <\/p>\n\n  <p>\n    However, the case does not prove that Smrekovit Klasik independently caused\n    the wound closure. It was an individual observational case, without a control\n    group and without the possibility of reliably separating the effect of the\n    product from other factors, such as regular care, the patient\u2019s general\n    condition, reduced strain on the leg and the natural course of the wound.\n  <\/p>\n\n  <p>\n    The most accurate way to understand this case is therefore as a documented\n    course of a chronic lower-leg ulcer during the period of Smrekovit Klasik\n    use, not as clinical proof of a therapeutic effect.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n\n<h2 id=\"dokumentacija-in-omejitve-primera\" class=\"wp-block-heading\">Documentation and limitations of the case<\/h2>\n\n\n\n\n\n\n<div class=\"translation-block case-section\" id=\"dokumentacija-in-omejitve\">\n\n  <p>\n    The case is based on time-stamped written communication with the family, a\n    series of wound photographs, subsequently obtained information about previous\n    care, and an anonymised public case report. The photographs provide a useful\n    view of the visual wound course, but they were not taken under standardised\n    conditions.\n  <\/p>\n\n  <p>\n    An important limitation is that the public description is not based on a full\n    review of the medical records. Information about previous care, wound\n    duration, pain, the patient\u2019s response and observations by visiting nursing\n    care therefore partly relies on statements from the family.\n  <\/p>\n\n  <p>\n    There was also no control group, no standardised wound surface measurements\n    and no independent clinical assessment of the effect of any single\n    intervention. The case therefore cannot show what the course would have been\n    without Smrekovit Klasik or what the result would be in other similar wounds.\n  <\/p>\n\n  <p>\n    Because the author or preparer of the report is connected with Smrekovit,\n    this represents a potential conflict of interest and a possible source of\n    interpretative bias. For that reason, cautious wording is used to distinguish\n    the documented course from conclusions about causality.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n\n<h2 id=\"ce-vas-zanima-oskrba-odprte-rane\" class=\"wp-block-heading\">If you are interested in caring for an open wound<\/h2>\n\n\n\n\n\n\n\n<div class=\"translation-block case-section case-next-step\">\n\n  <p>\n    This page presents the course of one specific case. General information\n    about open wounds, factors that affect healing and warning signs is available\n    on the page\n    <a href=\"\/en\/open-wound-on-leg\/\">Open wound on the leg<\/a>.\n  <\/p>\n\n  <p>\n    The specific procedure for using Smrekovit Klasik with non-woven gauze,\n    the frequency of dressing changes and practical instructions are available\n    in the <a href=\"\/en\/instructions\/wounds\/\">wound care instructions<\/a>.\n  <\/p>\n\n<\/div>\n\n\n\n\n\n\n\n\n\n\n\n\n<div class=\"translation-block article-footer-meta\">\n\n  <div class=\"article-footer-meta__info\">\n\n    <div class=\"article-footer-meta__item\">\n      <span class=\"article-footer-meta__label\">Author<\/span>\n      <span class=\"article-footer-meta__value\">\n        Matic Konc, laboratory biomedicine engineer\n      <\/span>\n    <\/div>\n\n    <div class=\"article-footer-meta__item\">\n      <span class=\"article-footer-meta__label\">Date prepared<\/span>\n      <time class=\"article-footer-meta__value\" datetime=\"2026-10-01\">\n        1 October 2026\n      <\/time>\n    <\/div>\n\n  <\/div>\n\n  <div class=\"article-footer-meta__sources\">\n\n    <h2>Sources and professional basis<\/h2>\n\n    <h3>Case documentation<\/h3>\n\n    <ul>\n      <li>\n        <a href=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/10\/CASE008_javni_case_report_FINAL.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\n          Documented observational case: chronic lower-leg ulcer in a 92-year-old patient\n        <\/a>\n        <span>\n          Smrekovit, 2026 \u2013 anonymised public case report, photographic course and time-stamped written communication\n        <\/span>\n      <\/li>\n    <\/ul>\n\n    <h3>Practical professional basis<\/h3>\n\n    <ul>\n      <li>\n        <a href=\"\/en\/instructions\/wounds\/\">\n          Instructions for wound care\n        <\/a>\n        <span>Smrekovit \u2013 practical instructions for the care of open wounds with Smrekovit Klasik<\/span>\n      <\/li>\n    <\/ul>\n\n    <p class=\"article-footer-meta__note\">\n      The timeline of the case is based on time-stamped written communication\n      with the family, serial photographic follow-up and subsequently obtained\n      information about previous care. This is an individual documented\n      observational case. It cannot prove the isolated effect of one intervention\n      or be generalised to other similar wounds.\n    <\/p>\n\n  <\/div>\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Pri 92-letnem bolniku s potrjenim sr\u010dnim popu\u0161\u010danjem, zdravljenjem z Marevanom in mejno povi\u0161anim sladkorjem je bila spremljana kroni\u010dna razjeda goleni, ki je bila po navedbah dru\u017eine odprta pribli\u017eno mesec in pol pred za\u010detkom uporabe Smrekovit Klasik. Primer prikazuje fotografsko dokumentiran potek od za\u010detnega stanja marca 2026 do skoraj popolnega zaprtja rane konec septembra 2026. Gre za posamezen dokumentiran opazovalni primer, ne za klini\u010dno raziskavo.<\/p>","protected":false},"author":1,"featured_media":12509,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[159,149,153],"tags":[],"class_list":["post-12508","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dokumentirani-primeri","category-koza-in-rane","category-uporaba-v-praksi"],"_links":{"self":[{"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/posts\/12508","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/comments?post=12508"}],"version-history":[{"count":18,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/posts\/12508\/revisions"}],"predecessor-version":[{"id":12569,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/posts\/12508\/revisions\/12569"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/media\/12509"}],"wp:attachment":[{"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/media?parent=12508"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/categories?post=12508"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/tags?post=12508"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}