Moist Exposed Burn Ointment in the Management of Burn Wound

Dr.V.Jayaraman

Back Ground:

Management of burns remains one of the greatest challenges in burn care. Local management of a burn wound requires early wound debridement and an optimum environment to stimulate epithelialisation and cellular proliferation. Protocol was developed as early as 30 years ago for the management of burns that includes early excision and SSG coverage. The results were not perfect. The quality of healed skin as well as the prominence of hypertrophic scar needs to explore the novel approaches.

Method and Analysis:

Wound healing assessment was made in burn wounds in 100 patients treated with MEBO cream and in 100 patients with Silver Sulpha Diazine Cream at the Kilpauk Medical College Hospital, Burns Unit. The comparative analysis is presented to assess the wound healing pattern in both the groups.

Result & Conclusion

Moist exposed burn ointment has been used with success in the management of deep superficial partial thickness and deep partial thickness burns in our department. The MEBO cream creates a physiological moist environment over the wound inducing an anti-inflammatory effect. It provides a nutritive base for the wound and debrides the wound eschar and expedites wound epithelialisation. The purpose of this study was to prospectively evaluate the outcome of the use of MEBO for second degree burns. Between August 2010 to May 2011 period 100 patients with second degree burns underwent MEBO cream application and were compared with 100 patients who had silver sulphadiazine cream . The result was analysed for the nature of wound debridement, reduction of inflammation, healing pattern, scar and pigmentation, MEBO provides excellent skin pigmentation and minimal visible scar. The results are extrapolated in graphical format and picture slides.