Burns

A burn is a traumatic damage of the skin by the effect of heat (flames, liquids, electricity).  The treatment of the burned wound goes its depth and dimension.  The dimension of the burn is indicated by the prat of the affected skin in relation to the body surface in percentage.  A large burn are is considered to be 20% of the body’s surface

Burns are classified in three degrees of severity and results of the depth of the damaged skin:

1° burn: painful erythema as a result of oedema of the epidermis and hyperaemia of the corium.  Prognosis: spontaneous healing without scarring.

2° burn: dermis is damaged. It is further classified in superficial (2a°) and deep (2b°) burns.

burns

2a° burn: the epidermis is destroyed until the superficial corium layer, cutaneous appendages (hair, nails) and glandulas are preserved and intact. Formation of blisters caused by albuminous exudation of liquid between corium and epidermis.  Prognosis: spontaneous healing without scarring.

2b° burn: at deep second-degree burns the damage goes up to the deep layers of the corium, with a distinct reduction of sensibility and beginning circulatory disturbance of the subcorial dermal vascular net.  Prognosis: healing with scarring, depending on its extension in the depth.  Possibly chirurgical wound treatment and transplantation is necessary.

3° burn: subdermal burn, combustion necrosis of all layers of epidermis and dermis including cutaneous appendages.  White-brown or black discoloration of the often leather-like skin.  The sensibility is completely lapsed, because the nerve endings, which are lying under the skin, are burned.Prognosis: spontaneous healing is not possible.  Surgical excision and wound covering with skin grafts is mostly not avoidable.

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The burn wound itself is classified in three zones, the hyperaemic

1, the stasis 2 and the coagulation 3 zones.

 

The coagulation zone is the central part of the burn wound.  The

hole are is characterised by denaturation and necrosis; there is no

blood circulation.  The tissue is unable to regenerate itself.

 

The stasis zone follows directly coagulation zone.  Here metabolism and blood circulation are highly constricted.  Initially the cells are still active, but if the stasis continues for a longer time, the cells collapse, caused by vasoconstriction, swelling of endothelial cells, platelet thrombus, fibrin deposition, amongst others.  Further damage of this zone, caused eg. By pressure or infection, may lead at any time to change to the coagulation zone.

The hyperaemic zone is localised at the exterior border of the burn wound and appears as a red zone.  With pressure the tissue colours to white, and becomes red at decompression again.  Microcirculation and metabolism are defective, the cells of this zone are hardly destroyed and the tissue is able to regenerate itself completely.

Application Tips:

  • Remove burnt flesh where possible either by surgery or manually with scissors.
  • Give pain medication if necessary before doing the dressing
  • Place debriding gel over the wound area and lay Ligasano® white directly onto the wound bed. The aim is the have the Ligasano® in direct contact with the wound area, including the wound edges.
  • Hold firmly with adhesive tape or a bandage.
  • Change Ligasano® as required during the early stages of healing as frequently as needed, but no longer than 24 hours
  • Then continue to change daily until healed.
  • Air Permeable fixation.
  • The Ligasano® white bandage should stay in situ, but can be fixed by use of a tubular net bandage or stocking.

Debriding Necrotic Tissue – Proud Flesh - Cleaning

Use Ligasano® Green for 24 hours, re-assess wound and apply new Ligasano® Green if required for a further 24 hours (maximum use of Ligasano® Green is 48 hours).

use-of-ligasano

Application Tips:

  1. Cut Ligasano® Green to the size of wound and apply directly into/onto the wound bed and/or under any loose skin flaps. Hold in place with a small piece of adhesive tape if necessary.
  2. Place large piece of Ligasano® White over the Ligasano® Green. Ensure cover piece overlaps edge of wound by 4cm. For lower leg wound (refer to diagram), cover initial wound dressing with 2cm thick sheet of Ligasano® White depending on the size of wound. Wrap it around leg to prevent damage to tendons and development of pressure ulcers from bandages. Start dressing on one side of the wound, wrap it around the leg and overlap the Ligasano® forming a pad over the wound. Allow excess of Ligasano® White above and below the wound.
  3. Secure firmly with Vetrap to prevent dressing moving.
  4. Follow instructions for using Ligasano® White 1 or 2cm thick to continue dressing wound accordingly:
  • Skin Deep Wound

Apply Ligasano® White to skin-deep wounds, the edges overlapping the wound by 4cm.

  • Shallow Wound

Cut Ligasano® to shape of wound with edges overlapping the wound by 2cm. Apply to wound (compress and place into the wound) ensuring direct contact with entire wound bed. To ensure this, Ligasano® White can be compressed by up to 50%.

  • Deep Wounds

Deeper wounds, pocket-shaped wounds and hollow wounds should be completely padded out with Ligasano® White. Cut Ligasano® White to shape of wound with edges
overlapping the wound. Apply to wound (compress and place into the wound) ensuring
direct contact with entire wound bed. To ensure Ligasano® white bandage should
stay in situ, but can be fixed by use of a tubular net bandage or stocking.

  1. Cover initial dressing in wound with a larger 2cm thick piece of Ligasano® White. Ensure cover piece overlaps edge of wound by 4cm. For lower leg wounds, cover initial wound dressing with 2cm thick sheet of Ligasano® White depending on the size of wound. Wrap it around leg to prevent damage to tendons and development of pressure ulcers from bandages. Start dressing on one side of the wound, wrap it around the leg and overlap the Ligasano® forming a pad over the wound. Allow excess of Ligasano® White above and below the wound.
  2. Secure firmly with Vetrap to prevent dressing moving.

 
Depending on wound, Ligasano® White may be left on the wound for up to 3 days. Heavily suppurating wounds should be changed daily. However, in any wound, as soon as the first sign of

secretion becomes visible on the outside of Ligasano® White dressing, dressing should be changed. Ligasano® White that has direct contact with the wound should be discarded immediately after removal.

You may notice that a bloody serus liquid is secreted from the wound. This is an important stage in wound healing and will continue for 3-5 days.

As the wound heals from the base upwards and inwards, apply smaller Ligasano® White dressings into the wound. Continue to dress as instructed above until healed.

Due to the nature of the product, Ligasano® White should not be left in or on a wound for longer than three days as granulation cells may grow into the product and cause bleeding upon removal. The overlay/wrap piece may be re-used for 5 to 7 days provided there is no visible exudate on it.

Deep Wound

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Application Tips

Ligasano® White is for single use only and is usually applied directly onto or into the wound without any further products.

  1. If there is visible debris in the wound, wash the wound with warm water.
  2. Deeper wounds, pocket-shaped wounds and hollow wounds should be completely padded out with Ligasano®. Using either 1cm or 2cm thick Ligasano® White, cutLigasano® to shape of wound with edges overlapping the wound by 2cm.  Apply to wound (compress and place into the wound) ensuringdirect contact with entire wound bed and walls.  To guarantee this, Ligasano® White can be compressed by up to 50%.
  3. Cover initial dressing in wound with a larger 2cm thick piece of Ligasano® White. Ensure cover piece overlaps edge of wound by 4cm.  For lower leg wounds, cover initial wound dressing with 2cm thick sheet of Ligasano® White depending on the size of wound.  Wrap it around leg to prevent damage to tendons and development of pressure ulcers from bandages.  Start dressing on one side of the wound, wrap it around the leg and overlap the Ligasano® forming a pad over the wound.  Allow excess of Ligasano® White above and below the wound.
  4. Secure firmly with Vetrap to prevent dressing moving.

 
Depending on wound, Ligasano® White may be left on the wound for up to 3 days.  Heavily suppurating wounds should be changed daily.  However, in any wound, as soonas the first sign of secretion becomes visible on the outside of Ligasano® White dressing, dressing should be changed.  Ligasano® White that has direct contact with thewound should be discarded immediately after removal.

As the wound heals from the base upwards and inwards, apply smaller Ligasano® White dressings into the wound.  Continue to dress as instructed above until healed.

Due to the nature of the product, Ligasano® White should not be left in or on a wound for longer than three days as granulation cells may grow into the product and causebleeding upon removal.  The overlay/wrap piece may be re-used for 5 to 7 days provided there is no visible exudate on it.

Deep Wound with Narrow Opening

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Application Tips

Ligasano® White is for single use only and is usually applied directly onto or into the wound without any further products.

 

  1. If there is visible debris in the wound, wash the wound with warm water.
  2. Explore the direction and depth to find the bottom of the wound. Cut long strips/s of Ligasano® White and carefully apply firmly into the cavity until full, leaving a tail hanging out for easy removal.  Secure tail with tape to prevent it disappearing.  If cavity is not full, apply additional strip/s into the wound.
  3. Cover initial dressing in wound with a larger 2cm thick piece of Ligasano® White. Ensure cover piece overlaps edge of wound by 4cm.  For lower leg wounds, cover initial wound dressing with 2cm thick sheet of Ligasano® White depending on the size of wound.  Wrap it around leg to prevent damage to tendons and development of pressure ulcers from bandages.  Start dressing on one side of the wound, wrap it around the leg and overlap the Ligasano® forming a pad over the wound.  Allow excess of Ligasano® White above and below the wound.
  4. Secure firmly with Vetrap to prevent dressing moving.

 

Depending on wound, Ligasano® White may be left on the wound for up to 3 days.  Heavily suppurating wounds should be changed daily.  However, in any wound, as soonas the first sign of secretion becomes visible on the outside of Ligasano® White dressing, dressing should be changed.  Ligasano® White that has direct contact with thewound should be discarded immediately after removal.

As the wound heals from the base upwards and inwards, apply smaller Ligasano® White dressings into the wound.  Continue to dress as instructed above until healed.

Due to the nature of the product, Ligasano® White should not be left in or on a wound for longer than three days as granulation cells may grow into the product and causebleeding upon removal.  The overlay/wrap piece may be re-used for 5 to 7 days provided there is no visible exudate on it.

Facial and Chest Wounds

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Application Tips:

Ligasano® White is for single use only and is usually applied directly onto or into the wound without any further products

  1. If there is visible debris in the wound, wash the wound with warm water..
  2. Follow instructions for using Ligasano® White 1 or 2cm thick to continue dressing wound accordingly:
  • Skin Deep Wound

Apply Ligasano® White to skin-deep wounds, the edges overlapping the wound by 4cm.

  • Shallow Wound

Cut Ligasano® to shape of wound with edges overlapping the wound by 2cm.  Apply to wound (compress and place into the wound) ensuringdirect contact with entire wound bed. To guarantee this, Ligasano® White can be compressed by up to 50%.

  • Deep Wounds

Deeper wounds, pocket-shaped wounds and hollow wounds should be completely
padded out with Ligasano® White.  Cut Ligasano® White to shape ofwound with edges
overlapping the wound.  Apply to wound (compress and place into the wound) ensuring
direct contact with entire wound bed.

  1. Cover initial dressing in wound with a larger 2cm thick piece of Ligasano® White. Ensure cover piece overlaps edge of wound by 4cm.
  2. Secure firmly with Vetrapor suitable bandage to prevent dressing moving.

 
Depending on wound, Ligasano® White may be left on the wound for up to 3 days.  Heavily suppurating wounds should be changed daily.  However, in any wound, as soonas the first sign of

secretion becomes visible on the outside of Ligasano® White dressing, dressing should be changed.  Ligasano® White that has direct contact with thewound should be discarded immediately after removal.

You may notice that a bloody serus liquid is secreted from the wound.  This is an important stage in wound healing and will continue for 3-5 days.

As the wound heals from the base upwards and inwards, apply smaller Ligasano® White dressings into the wound.  Continue to dress as instructed above until healed.

Due to the nature of the product, Ligasano® White should not be left in or on a wound for longer than three days as granulation cells may grow into the product and causebleeding upon removal.  The overlay/wrap piece may be re-used for 5 to 7 days provided there is no visible exudate on it.

Hoof Wounds

vt-hw

Application Tips:

Ligasano® White is for single use only and is usually applied directly onto or into the wound without any further products

  1. If there is visible debris in the wound, wash the wound with warm water..
  2. Follow instructions for using Ligasano® White 1 or 2cm thick to continue dressing wound accordingly:
  • Skin Deep Wound

Apply Ligasano® White to skin-deep wounds, the edges overlapping the wound by 4cm.

  • Shallow Wound

Cut Ligasano® to shape of wound with edges overlapping the wound by 2cm. Apply to wound (compress and place into the wound) ensuringdirect contact with entire wound bed. To guarantee this, Ligasano® White can be compressed by up to 50%.

  • Deep Wounds

Deeper wounds, pocket-shaped wounds and hollow wounds should be completely padded out with Ligasano® White.  Cut Ligasano® White to shape ofwound with edges overlapping the wound.  Apply to wound (compress and place into the wound) ensuring direct contact with entire wound bed.  To guaranteeLigasano® white bandage should
stay in situ, but can be fixed by use of a tubular net bandage or stocking.

  1. Cover initial dressing in wound with a larger 2cm thick piece of Ligasano® White. Ensure cover piece overlaps edge of wound by 4cm.
  2. Secure firmly with Vetrap to prevent dressing moving.

Depending on wound, Ligasano® White may be left on the wound for up to 3 days.  Heavily suppurating wounds should be changed daily.  However, in any wound, as soonas the first sign of

secretion becomes visible on the outside of Ligasano® White dressing, dressing should be changed.  Ligasano® White that has direct contact with thewound should be discarded immediately after removal.

You may notice that a bloody serus liquid is secreted from the wound.  This is an important stage in wound healing and will continue for 3-5 days.

As the wound heals from the base upwards and inwards, apply smaller Ligasano® White dressings into the wound.  Continue to dress as instructed above until healed.

Due to the nature of the product, Ligasano® White should not be left in or on a wound for longer than three days as granulation cells may grow into the product and causebleeding upon removal.  The overlay/wrap piece may be re-used for 5 to 7 days provided there is no visible exudate on it.

Inflammation

vy-infl2vt-inf1

Application Tips

Ligasano® White used in inflammation can be used continuously for up to 5 to 7 days.  Ligasano® White is usually applied directly onto are of inflammation without any further products.

Ligasano® White prevents heat and moisture accumulation allowing absorption of perspiration. Ligasano® White’s mechanical stimulus promotes local blood circulation increasing oxygen and nutrients to the desired area.

  1. Wrap Ligasano® white sheet around the area of inflammation.
  2. Hold firmly in place with stable bandage
  3. Allow excess of Ligasano® White above and below bandage
  4. Secure firmly with Vetrap to prevent dressing moving.

 
Due to the nature of the product, Ligasano® White should not be left for longer than three.

The overlay/wrap piece may be re-used for 5 to 7 days.

Shallow Wound

Shallow Wound (up to depth of 0.5cm)

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Shallow Wound with Pocket

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Application Tips

Ligasano® White is for single use only and is usually applied directly onto or into the wound without any further products.

  1. If there is visible debris in the wound, wash the wound with warm water.
  2. Using either 1cm or 2cm thick Ligasano® White, cutLigasano® to shape of wound with edges overlapping the wound by 2cm. Apply to wound (compress and place into the wound) ensuringdirect contact with entire wound bed.  To guarantee this, Ligasano® White can be compressed by up to 50%.
  3. Cover initial dressing in wound with a larger 2cm thick piece of Ligasano® White. Ensure cover piece overlaps edge of wound by 4cm.  For lower leg wounds, cover initial wound dressing with 2cm thick sheet of Ligasano® White depending on the size of wound.  Wrap it around leg to prevent damage to tendons and development of pressure ulcers from bandages.  Start dressing on one side of the wound, wrap it around the leg and overlap the Ligasano® forming a pad over the wound.  Allow excess of Ligasano® White above and below the wound.
  4. Secure firmly with Vetrap to prevent dressing moving.

 
Depending on wound, Ligasano® White may be left on the wound for up to 3 days.  Heavily suppurating wounds should be changed daily.  However, in any wound, as soonas the first sign of secretion becomes visible on the outside of Ligasano® White dressing, dressing should be changed.  Ligasano® White that has direct contact with thewound should be discarded immediately after removal.

As the wound heals from the base upwards and inwards, apply smaller Ligasano® White dressings into the wound.  Continue to dress as instructed above until healed.

Due to the nature of the product, Ligasano® White should not be left in or on a wound for longer than three days as granulation cells may grow into the product and causebleeding upon removal.  The overlay/wrap piece may be re-used for 5 to 7 days provided there is no visible exudate on it.