The Progressive Pligmologist: Case Study October 2025

This was a 43 year old female who underwent an abdominoplasty and bilateral breast enhancement and subsequently suffered large dehiscence of the abdominal incision two years prior to presentation. She reported that the plastic surgeon had been recommending wet to dry bandages and routine antibiotic administration; at the time of presentation she was receiving linezolid, which was causing vaginal spotting, and reported significant discharge and pain associated with the site. As a consequence, she was experiencing incredible distress, and felt that her surgery had been a failure.

Upon transition to our clinic, linezolid was stopped due to lack of infection findings, and WtD bandages were discontinued in favor of patient-applied hydrofera blue classic to sites of tunneling, with a calcium alginate backing. Application of Hydrofera blue classic led to gradual closure of tunneling and return of wound bed to active granulation, at which time she was transitioned to collagen with a calcium alginate backing and island dressings. Over four months her abdominal incision achieved closure with no further antibiotics and she was transitioned to topical castor oil and massage for scar mobilization. At the time of last evaluation, she had no further breakdown instances and had regained much of her lifestyle."