You evaluate a patient for a medial lower leg wound that mea…
You evaluate a patient for a medial lower leg wound that measures 8.2 x 4.3 x 0.1 cms. He reports that at times it drains heavily and has been getting his socks soiled throughout the day. The drainage is bluish-green and has a moderately foul odor. The wound is 90% granular and 10% thin slough film. He is a 54 year old, non-diabetic, morbidly obese gentleman with easily palpable pedal pulses, who works as a foreman in a steel mill. Which dressing plan do you try first?