title: Post-bariatric abdominoplasty resulting in wound infection and dehiscence-Conservative treatment with medical grade honey: A case report and review of literature.
abstract: BACKGROUND
  Wound complications in post-bariatric patients undergoing body-contouring surgery after massive weight loss are not uncommon and often, surgical debridement or conservative management is necessary. Honey is one of the most ancient remedies for wound care and it is also considered to possess debriding effects. Current research has demonstrated promising results showing that honey can improve wound granulation and epithelialization, reduce exudate and shorten healing times.
  
  
  METHODS
  This case report has been reported in line with the CARE criteria.
  
  
  METHODS
  A 40 year-old female suffered wound infection and dehiscence after undergoing post-bariatric abdominoplasty. The patient was not interested in surgical revision and split skin grafting. Therefore, conservative wound treatment with topical Manuka honey was instituted resulting in significant clinical improvement and effective healing concurrently with good patient satisfaction.
  
  
  CONCLUSIONS
  Surgical wound complications in post-bariatric patients undergoing abdominoplasty are common and often require surgical revision or conservative wound treatment. No previous publication has addressed outpatient treatment of post-bariatric abdominoplasty wound complications with medical grade honey.
  
  
  CONCLUSIONS
  Although more research is needed for definitive conclusions of honey's efficacy, it is safe and as presented in our case, it may under certain circumstances reduce the need of surgical wound debridement and serve as a remedy for conservative treatment.
authors.affiliation: Department of Plastic Surgery & Breast Surgery, Roskilde University Hospital, Køgevej 7-11, 4000 Roskilde, Denmark. Electronic address: reemdj@outlook.com.
authors.forename: Reem
authors.initials: R
authors.lastname: Dina Jarjis
authors.affiliation: Department of Plastic Surgery & Breast Surgery, Roskilde University Hospital, Køgevej 7-11, 4000 Roskilde, Denmark. Electronic address: bjtc@regionsjaelland.dk.
authors.forename: Bjørn
authors.initials: B
authors.lastname: Thomas Crewe
authors.affiliation: Department of Plastic Surgery & Breast Surgery, Roskilde University Hospital, Køgevej 7-11, 4000 Roskilde, Denmark. Electronic address: shm@regionsjaelland.dk.
authors.forename: Steen
authors.initials: S
authors.lastname: Henrik Matzen
keywords: Dehiscence; Medical grade honey; Outpatient treatment; Post-bariatric abdominoplasty; Postoperative wound infection