A 50-year-old woman was treated by the ER for a burn on her right thigh and abdomen. The wounds were painful, produced a lot of fluid (exudate) and had possibly already been infected. The surgery assistant decided to use L-Mesitran Hydro in combination with a wound foil fixation.
A 50-year-old woman was treated by the ER for a burn on her right thigh and abdomen. The wounds were painful, produced a lot of fluid (exudate) and had possibly already been infected. The surgery assistant decided to use L-Mesitran Hydro in combination with a wound foil fixation.
A 50-year-old woman was treated by the ER for a burn on her right thigh and abdomen. The wounds were painful, produced a lot of fluid (exudate) and had possibly already been infected. The surgery assistant decided to use L-Mesitran Hydro in combination with a wound foil fixation.
Burns, 2 nd degree A 50-year-old woman was treated by the Accident & Emergency (A&E) for a burn on her right thigh and abdomen. In this case the burn was caused by hot tea. The patient was admitted to the ER on 25.01.2008 . The wounds were painful, produced a lot of uid (exudate) and had possibly already been infected. The A&E sta advised her to wash the wounds with vinegar and the patient was sent home. Since the situation remained very painful, the surgery assist- ant was kept informed. Given the location of the wound, in the fold under the belly, it was dicult to nd the right wound care product which was able stay on the wound. Non-woven sterile dressings (Aquacel, ConvaTec) were chosen. On 30/01/2008 (ve days after the visit to the A&E) the patient returned to the hospital and complained about the non-healing and painfull wound (pic. 1 & 2). The surgery assistant decided to use L-Hydro Mesitran in combination with a wound foil xation (Kliniderm Film Xtrata). Product: L-Mesitran Hydro Case Study done by: JG Alblas, MD, Physician Assistant, Surgical Department, BovenIJ- Hospital, Amsterdam, The Nederlands Method & Observations Given the size of the wound, a couple of L-Mesitran Hydro dress- ings were placed next to each other, not overlapping and x- ated with Xtrata. On 01/02/2008, the patient returned to the outpatient care of the hospital for a follow-up. The main dier- ence since the start two days earlier, was that the pain had disap- peared. The wound had signicantly improved (pic. 3 & 4). The leg wound already showed epithelialization. The patient herself was very pleased with the product selection. The surgery assistant had her doubts about the substance which was present after removal of the Hydro dressing; she and her colleagues were under the impression that it was pus. The picture, however, clearly shows that it was the gel formation of the Hydro (pic. 5). The combination of polymer gel and honey absorbs up to 7 times its own weight and forms gel-balls, wich are easy to wash o with a saline solution. On 13/02/2008 the patient returned to the outpatient care (pic. 6 & 7) for a nal consult. The wound was granulating nicely and predominantly showed epithelialization. The wound healed in 14 days without scarring. Conclusion Each year an average of 9,600 people in the Netherlands is treat- ed at an A&E department for burns sustained in a personal ac- cident. 56% of these burns are the result of contact with a hot liquid. In 10% of those cases, hot tea is the cause of admission to the A&E (Ormel, 2007). In this case, the big second degree burns on the leg and abdo- men of a 50 year old patient completely healed in two weeks time without scarring. Strikingly, after an unsuccessful treatment with vinegar and hydober, the honey-hydrogel promoted pain- less wound healing in the rst two days after the start. It is extremely important to choose the right type of wound dressing for the treatment of burns. The choice should focus on the eect on wound healing and the ease of application and re- moval of the dressing. Besides these requirements frequency of replacement, costs and patient comfort (Wasiak and 2009) are of interest. In this case the honey hydrogel met all of these require- ments. Declaration This study was done independently and with the patients consent. References - Ormel W, Eckhardt JW (2007) Brandwonden. In: 2007.020- 4870.10 Consument en Veiligheid 02-03-2007 - Wasiak J, Cleland H, Campbell F (2009) Dressings for supercial and partial thickness burns. Intern Emerg Med. 4(1):53-6 C088 1. Belly 30/01/2008 3. Belly 01/02/2008 5. Belly 01/02/2008 7. Belly 13/02/2008 2. Leg 30/01/2008 4. Leg 01/02/2008 6. Leg 13/02/2008