Patient data and anamnesis:
Young patient, born in 1989, tipped hot oil over his left forefoot and suffered grade 3 burns. Patient was already treated for 3 weeks in a medical care center. Due to the complex care, Rinocon GbR was additionally involved as a homecare company to further support and ensure continuous treatment. At the first admission of the patient, the wound was very heavily covered with fibrin, the toe gaps were strongly macerating and moist. The wound environment was dry and scaly. The treatment with paraffin-soaked gauze and sterile compresses proved to be insufficient within the first 3 weeks of treatment and very painful for the patient (dressing glued to the wound).
Fig. 1: 31.05.2016 After consultation by Rinocon GbR with the treating physician, the therapy was adapted and continued with Principelle IF 8 x 10 cm and LIGASANO® white sterile 15 x 10 x 1 cm. LIGASANO® was incised at the front and additionally tamponed into the toe gaps. The restoration was fixed with an elastic gauze bandage.
Fig. 2: First dressing check on 03.06.2016 (3rd day of treatment): Already after 3 days with the changed treatment a highly positive course was observed. After mechanical debridement, the wound bed was completely free of fibrin deposits. Beginning epithelisation was visible at the wound margin. The previously strongly macerated toe interdigits were completely intact and dry.
Fig. 3: Dressing control on 14.06.2016 (14th day of treatment): 70% of the wound was already covered with an epithelial layer, only two small wounds were left with a clean red granulating wound bed. The entire wound area was pale and dry. The treatment continued with a Principelle IF and LIGASANO® white sterile.
Fig. 4: Dressing control on 28.06.2016 (28th day of treatment): The wound was completely epithelialized, skin appearance completely renewed without scarring.
Conclusion: A highly positive course of the wound could be achieved with the treatment of Principelle IF in combination with sterile LIGASANO® PUR foam dressing white for the burn of grade 3 on the left forefoot of a young patient. The wound showed a good response to the selected combination of medical honey and foam dressing. In addition, the patient's pain load could be significantly reduced and the tolerance to the treatment increased sustainably.
Author: Rinocon Gbr, Homecare Service, Bad Windsheim