A collaborative study with Harvard Medical School
SKIN GRAFT DONOR SITE
MaxioCel - 100% Chitosan Wound Dressing on Skin Graft Donor Site
Center
Manipal Hospital,Jaipur-India: Dr.Triveni Dhaka
Patient details: 55 years , Female
Diabetes: No
Nicotine Consumption: No
Localized Infection: No
Nutritional Status: Well nourished
Co-morbidities: None
Previous Medication: None
Wound History: Raw area donor site on the right thigh(acute wound) after skin grafting procedure for primary localized treatment, wound measurements being (L=240 mm, D= 5mm, and W=110mm) with moderate pain score
Tissue type
Initial Wound Bed Evaluation
| Infection (Local Factors) | Yes | No |
| Exudate | ✓ | |
| Erythema | ✓ | |
| Malodorous | ✓ | |
| Pain | ✓ | |
| Oedema | ✓ |
| Exudate | Dry | Low | Medium | High |
| Levels | ✓ |
| Exudate | Watery | Cloudy | Thick | Purulent | Red |
| Type | ✓ |
Wound before MaxioCel treatment
Wound after 4 days of MaxioCel treatment
Wound Management Goals
| Parameters | Yes | No |
| Debridement | ✓ | |
| Infection Prevention | ✓ | |
| Exudate Management | ✓ | |
| Optimum Moisture Maintenance | ✓ | |
| Protect granulation tissue / Epithelializing tissue | ✓ |
End Report
| No of MaxioCel dressings done | 4 |
| Frequency of MaxioCel dressings | 48 Hrs |
| MaxioCel Variant used | 10x05cm (2 units per dressing) |
| Final day wound condition | Very dry, scaling |
Result
| Patient Outcome with Maxiocel | Ease of Application/Removal | Antimicrobial barrier | Wound adherence | Conformability | Wound scar improvement | Pain management |
| Excellent | ✓ | ✓ | ✓ | ✓ | ||
| Good | ✓ | ✓ | ||||
| Fair | ||||||
| Poor |
Discussion
- A donor site is the area left where a piece of skin has been taken to cover a wound on another part of the body.
- The dressings done are supposed to protect the raw surface and allow it to heal and soak up any fluid discharge from the site which may pool and cause wound infection.
- In the shown case, the patient was put on a primary treatment regimen using MaxioCel wound care dressings to promote healthy epithelialization of the donor site.
Within two MaxioCel dressings(alternative days), i.e. 4 days, significant improvements can be seen in terms of exudate reduction, pain score and epithelialization.