Initial Clinical Assessment of a Novel Multifunctional Topical Ointment for Difficult-to-Heal Wounds: A Case SeriesReyzelman, Alexander M. DPM; Bazarov, Irina MSAdvances in Skin & Wound Care: December 2012 - Volume 25 - Issue 12 - p 557–560 doi: 10.1097/01.ASW.0000423441.00908.05 FEATURES: CASE SERIES Abstract In Brief Author InformationAuthors Article MetricsMetrics ABSTRACT Chronic wounds are characterized by prolonged inflammation, bacterial bioburden, and ischemia. These factors represent the barriers to wound healing that need to be addressed in order to achieve wound closure. The authors performed the initial clinical testing of WinVivo Wound Ointment (“WinVivo”), a novel topical ointment containing several botanicals that have been previously shown to promote favorable wound environment and advance wound healing. In this series of 13 patients with difficult-to-heal lower-extremity wounds, WinVivo was well tolerated and demonstrated the ability to simultaneously support granulation tissue formation; decrease the amount of exudate, edema, and malodor; and reduce pain. The ulcers included in this study have been present for a minimum of 3 weeks and a maximum of 5 years prior to the start of treatment with WinVivo. Eight of 13 wounds have previously been treated with at least 1 type of advanced wound healing modality, such as dermal substitutes or negative-pressure wound therapy. Treatment with WinVivo lasted for 3 to 12 weeks and resulted in a mean 88% wound closure, with 4 wounds healing completely. In addition to significant reduction in wound size, all patients have exhibited other clinical benefits, suggesting overall improvement in wound conditions. Future studies in a larger population, as well as case-control studies comparing WinVivo with a standard of care, are therefore warranted to further evaluate the efficacy of this new treatment. The authors performed clinical testing of a novel botanical topical ointment in a series of 13 patients with difficult-to-heal, lower-extremity wounds. Alexander M. Reyzelman, DPM, is Associate Professor, Department of Medicine; and Irina Bazarov, MS, is a Podiatric Medical Student; both at the California School of Podiatric Medicine at Samuel Merritt University, Oakland, California. The authors disclose that they will discuss the unlabeled/investigational use of WinVivo Wound Ointment. Submitted November 18, 2011; accepted in revised form March 1, 2012. © 2012 Lippincott Williams & Wilkins, Inc.