A Case Study On The Effectiveness Of A Chitosan Lactate Microfibre Dressing In Managing Hyper-granulation Tissue In A Chronic Second-degree Burn.

Aim

To evaluate the impact of a chitosan lactate gelling fibre dressing (MaxioCel®) on the management of a hyper-granulating chronic second-degree burn wound in a paraplegic patient with a history of non-responsiveness to conventional treatment modalities.

Method

Following standard care protocols and with informed consent, MaxioCel was applied by nursing staff to a deteriorating second-degree burn wound on the right lower limb of a patient. The wound had a 9-year duration and was previously managed with traditional dressings. The study focused on observing changes in the hyper-granulation, tissue types, exudate levels, and patient comfort over a 4-week period.

Results

  • Demonstrated a significant reduction in hyper-granulation tissue which decreased by more than 50%.
  • Wound size reduced from 40×15 cm to 30×15 cm, with a marked increase in healthy granulation and epithelialisation.
  • Patient reported greater comfort and improved emotional well-being.
  • The dressings effective exudate management properties facilitated the transfer of the patient from the bed to a chair, an essential stage in his rehabilitation.

Case Study

An 27-year-old male presented with a chronic right limb wound, present since 2014 and originating from a second-degree hot water burn injury

Previous dressing regimes included a hydrofibre (Aquacel® Ag) silicone contact layer (Mepitel®), iodine and paraffin gauze.

MaxioCel demonstrated a significant reduction in hyper-granulation tissue which decreased by more than 50%, wound size reduced from 40×15 cm to 30×15 cm, with a marked increase in healthy granulation and epithelialisation.

“The patient reported greater comfort during the treatment period, which is an important aspect of patient centred
care.”


Conclusion

The application of MaxioCel resulted in substantial clinical improvement of a complex, longstanding second degree burn wound. The dressing promoted effective wound management by reducing hyper-granulation,
controlling exudate, and facilitating autolytic debridement.

The exact cause of hyper-granulation tissue is poorly understood and referenced as multifaceted. This case suggests the potential of MaxioCel to address some of those causes and potentially be a valuable addition to wound care regimens, particularly for patients with challenging non-healing wounds.

To see the full poster, presented at Wound Care Today 2024, including more details on the case study highlighted, download below.

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References 

Alhajj M, Goyal A. Physiology, Granulation Tissue. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan Aquacel® is a registered trademark of ConvaTec Inc. Mepitel® Is a registered trademark of Mölnlycke Health Care AB