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Early debridement and delayed primary vascularized cover in forearm electrical burns: A prospective study

World Journal of Critical Care Medicine 2016年第4期5卷 228-234页

作者： aniruddh mene Gautam Biswas Atul Parashar Anish Bhattacharya Department of Plastic Surgery Post Graduate Institute of Medical Education and Research Department of Nuclear Medicine Post Graduate Institute of Medical Education and Research

AIM To look into the management options of early debridement of the wound, followed by vascularized cover to bring in fresh blood supply to remaining tissue in electrical burns. METHODS A total of 16 consecutive patients sustaining full thickness forearm burns over a period of one year were included in the study group. Debridement was undertaken within 48 h in 13 patients. Three patients were taken for debridement after 48 h. Debridement was repeated within 2-4 d after daily wound assessment and need for further debridement. RESULTS On an average two debridements(range 1-4) was required in our patients for the wound to be ready for definitive cover. Interval between each debridement ranged from 2-18 d. Fourteen patients were provided vascularized cover after final debridement(6 free flaps, 8 pedicled flaps). Functional assessment of gross hand function done at 6 wk, 2 mo, 3 mo and 6 mo follow-up. CONCLUSION High-tension electrical burns lead to significant morbi-dity. These injuries are best managed by early decompression followed by multiple serial debridements. The ideal timing of free flap coverage needs further investigation.

关键词： Early debridement Vascularized cover Electrical burns Forearm

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