A collaborative study with Harvard Medical School
BREAST CAVITY WOUND
MaxioCel - 100% Chitosan Wound Dressing in a Breast Cavity Wound after abscess removal
Center
Sai Shradha Hospital, Mumbai-India: Dr.J.S.Majithia
Patient details: 29 years , Female
Diabetes: No
Nicotine Consumption: No
Localized Infection: Yes
Nutritional Status: Well nourished
Co-morbidities: None
Previous Medication: Treatment-Saline and Hydrogen peroxide with gauze dressings
Wound History: 7 days old cavity wound in the right breast with measurements being L=30mm, D= 80mm, W= 40mm, high exudation after removal of breast abscess, pain score were high throughout the week.
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 using Maxiocel
Using Maxiocel on the wounds
Wound improvement after 4 dressings
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 | Daily |
| MaxioCel Variant used | MX2530 |
| Final day wound condition | Final day wound condition –Pain managed, Cavity size significantly reduced as wound is granulating, exudate levels reduced by 70% |
Result
| Patient Outcome with Maxiocel | Ease of Application/Removal | Antimicrobial barrier | Wound adherence | Conformability | Wound scar improvement | Pain management |
| Excellent | ✓ | ✓ | ✓ | |||
| Good | ✓ | ✓ | ✓ | |||
| Fair | ||||||
| Poor |
Discussion
- Most breast abscesses occur as a complication of mastitis, a bacterial infection that causes the breast to become red and inflamed.
- Mastitis usually affects breastfeeding women, but it can sometimes occur in women who are not breastfeeding.
- Small breast abscesses can be drained using a needle and syringe. For larger abscesses, a small incision may be needed to drain the pus.
- In the shown case, the patient was suffering with a deep cavity wound in the right breast with high levels of discomfort due to increased pain score and delayed healing post breast abscess removal.
- MaxioCel rope variant was used for the treatment regime and within 4 dressings over a period of 8 days lead to significant reduction in wound size, wound exudates as well as pain scores