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L-Mesitran

L-Mesitran Case Study:


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