Endorsement from Dr. Mayer
May 22, 2015
Ken,
We have been using this IPM gel for the past 9 months and have incorporated its use in the healing of incision lines after digit amputations. Over the last 9 months we have performed 116 amputations on diabetic patients with nonhealing, digital diabetic ulcerations. Blood supply was never perfect, however, is also not profoundly impaired. Our standard postoperative treatment protocol for these individuals was to apply a thin film of IPM gel along the incision line, on a daily basis, with the wound site covered with foam dressing. The patients were seen 1 week postoperatively and again 2 weeks later.
Our results demonstrated that, 94 (81%) of those patients healed, with complete epithelialization of the incision line, within 1-2 weeks. This is in contrast to a typicall 4 week healing time that we observed prior to using IPM gel. In addition, our complication rate was correspondingly low as we were not dealing with incision line dehiscence or infection.
Our overall experience with IPM gel has been extremely positive. We were struck by the consistency in the healing times of the incision lines of these very sick patients with profound underlying end organ damage. The healing mechanism in these individuals is grossly impaired and amputation with primary closure is frequently fraught with postoperative complications. We were able to reduce this complication rate with the introduction of IPM gel as a postoperative treatment protocol and as such reduce the need for ongoing homecare as well as accelerate the patient’s return to work or normal activities of daily living. These particular parameters are very important in the diabetic wound world as it is the loss of enjoyment of life and the inability to earn a living that causes the most profound lasting damage in our diabetic wound patients. Finally, the rapid resolution of these wounds means a faster discontinuation of nursing care with a significant reduction in healthcare expenditure.
Dr. Perry V. Mayer, MB, BCh, CCFP
Medical Director
The Mayer Institute for Advanced Diabetic Foot and Wound Care
20 Railway Street
Hamilton, Ontario
Canada, L8R 2R3
T (905) 523 1444
F (905) 523 6600