The Health Park adds innovative care therapy to surgery for the resolution of complex wounds
Coordinated work between specialists from different disciplines has allowed the complete recovery of the first patient treated with Autologous Serum Rich in Cytokines, an innovative therapy that complements surgical intervention.
Patient David Moreno has been in hospital monitoring for a year until he fully recovered and returned to practicing sports.
In pressure injuries, prevention is key to eradicating injuries that, in most cases, are avoidable.
The multidisciplinary approach, with the intervention of advanced practice nurses and traumatologists specializing in microsurgery and reconstructive surgery, has been key in resolving theone of the most serious cases in the Complex Wounds Unit of the Sant Joan de Deu Health Park.
It is the case of David Moreno, which arrived at theSJD Sant Boi Hospital with one wound with bone involvement. This injury, and those that occurred later, were so serious that they required several surgical interventions, complemented by highly specialized nursing care focused on preventing complications, managing pain and optimizing healing. “This model of shared work between different specialties "it was key to restoring David's functionality and guaranteeing him a safe and progressive recovery process," he explains Peter Coca, specialist nurse and member of the Complex Wounds Unit of the SJD Health Park.
The severity of the injuries, the treatments and surgical interventions that were required forced David's life and his great motivation, sport, to be put on hold. More than a year later, andDavid competes with his team again, the CB Roser, and resumes the rest of the sports he practices, always with caution and without forgetting the importance of prevention to avoid another injury that takes him away from the field of play.
A victory shared with his medical team
"To get this far, motivation has been key and, above all, thinking about sport and wanting to compete again and live a normal life," explains David Moreno after winning one of the first adapted basketball games he played after being discharged from hospital.
The nurse watches him from the stands. Pere Coca and Dr. Oscar Izquierdo, assistant of the Traumatology service of the SJD Sant Boi Hospital, whohave treated and accompanied for more than a year until full recovery. Both promised to cheer him on from the stands when he was 100% again.
Throughout this process, the key has been David's psychological strength, as well as the trust that Coca and Izquierdo placed in him. “I told him: listen, I will put all my effort into trying to cure you; We won't throw in the towel, we will operate on you as many times as necessary. And when we heal you, we'll come watch you play. And here we are," he explains. Dr. Izquierdo, happy and proud to see him finally compete.
Teamwork to treat the most complicated wounds
The case of David Moreno required one joint approach between advanced practice wound nurses, traumatologists specializing in microsurgery and reconstructive surgery, and the team ofHome hospitalization, who over the course of more than a year coordinated interventions, clinical monitoring and advanced wound management. This combined work, one of the distinguishing features of the Complex Wound Unit, has been crucial for this patient to achieve a complete recovery. "He arrived with ulcers, both in the sacrum and the ischial area, and it was necessary to operate on him because the injury was so serious that the bones were already exposed," explains Dr. Izquierdo.
New innovative treatment with regenerative medicine
Within the framework of this comprehensive approach, Moreno was the first patient from the Complex Wounds Unit of the SJD Health Park when being treated with Autologous Serum Rich in Cytokines (SARC), a innovative regenerative medicine technique which consists of infiltrating a serum into the patient's own blood that stimulates and accelerates skin healing. The first session was in November 2024, through collaboration with Qrem Regenerative.
David's wounds were pressure injuries, due to having to maintain the same position for hours, aggravated by the lack of prevention in the practice of sports. These injuries, when they are related to dependent people, with reduced mobility, occur in areas of the body where the bone constantly presses the skin against an external surface (hip, heels, sacrum).
The implementation of this technique has meant a great progress for the Complex Wound Unit and for treated patients. Its use reduces healing times, reduces associated pain and limits the risk of infections, which contributes to a faster and safer recovery. To date, 10 patients have received treatment with SARC at the SJD Sant Boi Hospital, with favorable results.
Prevention, the key to eliminating avoidable injuries
Pressure sores are invisible injuries and with a high degree of complication that can be avoided, by 95%, with health education and following good preventive measures. Postural changes, the incorporation of special surfaces for pressure management and the inclusion of foam supports, along with the application of hyperoxygenated fatty acids to the pressure area are key to preventing this type of injury.
The Complex Wounds Unit of the SJD Health Park is accredited as Excellent Unit by the National Group for the Study and Advice on Pressure Ulcers and Chronic Wounds (GNEAUPP). The care it offers is multidisciplinary, in coordination with professionals from different specialties such as Internal Medicine, Traumatology, Infectious Diseases, Vascular Surgery, Diagnostic Imaging, Dermatology, among others. During 2025, it treated 764 patients, who received 2,939 treatments.
