Honey-Based Salve and Burdock Leaf Dressings as an Alternative to Surgical Debridement of a Traumatic Wound Eschar

Abstract

Objective: Nonviable necrotic eschar is an impedance to wound healing and can ultimately lead to failure of soft tissue coverage in traumatic or high-risk wounds. Topical therapeutic agents can provide a less invasive management alternative to surgical debridement of eschar.Approach: The case of a 40-year-old male with a traumatic right lower extremity amputation complicated by surgical incision ischemic eschar formation is reported. Honey-based salve with burdock leaf dressings was used to noninvasively manage eschar extending over the incision site. Images were obtained for 5 months of follow-up.Results: Five-month follow-up demonstrated complete resolution of eschar and re-epithelialization of skin in the affected region.Innovation: Honey-based salve with burdock leaf dressings shows promise for enhancing healing outcomes in traumatic wounds that develop nonviable eschar.Conclusion: Surgical debridement of an amputation stump with large ischemic eschar was avoided with the use of honey-based salve with burdock leaf dressings.

Apitherapy of Septic Metacarpal and Metatarsal Wounds (An Experimental Study on Donkeys)

“…The present histopathological results revealed that all honey treated septic wounds had different re-epithelization process indicating variant healing potencies (figures [5][6][7][8][9][10][11][12][13][14] Wound healing is a complex and systematic process, in terms of histopathology it includes three phases including inflammation, proliferation, and remodeling [58]. Honey increases activity of fibroblasts [29] and collagen formation [20,59].…”

“…Recently, the renewed wound healing activity of honey is widely documented [9,13,14], even with infected [3,15], or non-healing wounds resulting in faster healing process, wound size reduction and lower pain intensity [16]. The present study aimed to investigate the potency of different types of honey as wound dressing for septic skin wounds at limb distal regions in donkeys.…”

“…Honey is a traditional remedy in ancient folk medicine and owing to widespread multidrug resistant pathogens emerging, there is a renaissance in honey apitherapy nowadays [1] especially for wound healing either as it is [2][3][4][5] or pharmaceutically formulated pectin membrane [6,7], chitosan hydrogel based [8] or burdock salve [9]. Horses often suffer cutaneous wounds on the distal portion of limbs difficulty to be closed primarily [10], associated with severe tissue avulsion and excessive contamination [11,12].…”