Volume 29, Issue 163, September 2025

The use of lipid-colloid technology healing matrix dressings impregnated with silver and nanooligosaccharide particles in the treatment of post-burn wounds of the right foot in a female patient with multiple thermal burns

Żanna Gawrysz^1♦, Agnieszka Witowska¹, Stanisław Derewjanko²

¹Department of Plastic and Burns Surgery, Multispecialty Hospital in Nowa Sól, ul. Chałubińskiego 7, 67-000 Nowa Sól, Poland
²Collegium Medicum of the University of Zielona Góra, ul. Zyty 28, 65-046 Zielona Góra, Poland

^♦Corresponding author
Żanna Gawrysz, Department of Plastic and Burns Surgery, Multispecialty Hospital in Nowa Sól, ul. Chałubińskiego 7, 67-000 Nowa Sól, Poland

ABSTRACT

Among all injuries, burns occupy a fairly serious place. High temperatures, electric current chemicals, and ionizing radiation can cause burns. There are four degrees of burns, depending on the depth of tissue damage. The choice of treatment methods depends on the extent and degree of the burn, and the patient’s condition. In this report, we present the clinical case of a 51-year-old patient. Patient was admitted to the Department of Plastic Surgery and Burns with burns affecting the hands, wrists, feet, ankle joints, right lower limb, right buttock, and face. On admission, the patient had first, second, and third-degree burns covering approximately 20% of the total body surface area. We immediately cleared patient for surgical treatment under general anesthesia, performed a necrosectomy of the burn wounds, and covered the skin defects with skin grafts harvested from the left lower limb. The grafts took well, and the donor sites healed without complications; however, graft lysis occurred on the dorsal surface of the right foot. The patient did not consent to undergo further surgery. Only one treatment option remained, which involved the use of specialized dressings. Dressings with a lipid-colloid healing matrix impregnated with silver (TLC-Ag) and those containing nano-oligosaccharide particles (TLC-NOSF) promoted rapid debridement of necrotic tissue, accelerated wound healing, and prevented epithelial disruption during dressing changes, thereby shortening the overall healing time.

Keywords: burn, specialized dressings, TLC-Ag healing matrix, TLC-NOSF healing matrix, wound infection

Medical Science, 2025, 29, e156ms3669

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DOI: https://doi.org/10.54905/disssi.v29i163.e156ms3669

Published: 05 September 2025