Evaluation of early surgical reconstruction in burn patients (clinical investigation) (Turkish)

Abstract Introduction Acutely injured burn patients demonstrate a range of spiritual and religious needs, but little is known about the variability of their beliefs over time, as well as the impact of reconstruction on these spiritual and religious beliefs. We examined the faith needs of burn reconstruction patients over the course of their reconstruction. Methods After obtaining consent, we assessed the spiritual and religious beliefs of 34 burn patients who were referred to Plastic Surgery for reconstruction, using the validated Belief into Action Scale (BIAC), which measures strength of beliefs on a scale from 10 to 100. A Likert scale from 1 to 10 was used to evaluate spiritual needs. Patients were reassessed 2 years later by telephone interview, after the majority of had completed their reconstruction. We compared before and after BIAC scores, including subscales, using paired Student’s T tests, with p< 0.05 assigned statistical significance. Results BIAC scores increased from 43.6 to 45.6 (p< 0.05) in burn reconstruction patients, over a period of two years. The only subscale that was statistically different was “conforming your life to the teaching of your faith,” which increased from 5.8 to 6.8 (p< 0.05). Burn reconstruction patients reported the importance of their spirituality as a 7.6, the importance of spirituality in reconstruction as a 6.0, and meeting their spiritual needs as 8.6. Regarding demographics of these patients, mean age was 48.3 years, mean time from injury to reconstruction was 1.9 years, gender ratio was 17:17, mean TBSA was 12.4%, and 14/34 had significant neuro-psychiatric illness. 21/34 patients underwent some form of surgical reconstruction, with laser resurfacing of hypertrophic scars the most common procedure (n=16). Conclusions The spiritual and religious beliefs of burn reconstruction patients appear to strengthen over time, despite significant challenges that these patients encounter, either from their initial injury or concurrent neuro-psychiatric morbidity. Meeting these needs in the outpatient setting, through pastoral care and/or the local church community, may further enhance recovery. Applicability of Research to Practice Identifying the spiritual and religious needs of burn patients may enhance recovery from injury.

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Clinical Investigation of Burn Patients Transported by Helicopter Based on the Japan Trauma Data Bank

Air Medical Journal ◽

10.1016/j.amj.2020.08.007 ◽

2020 ◽

Vol 39 (6) ◽

pp. 464-467

Author(s):

Youichi Yanagawa ◽

Kei Jitsuiki ◽

Ken-ichi Muramatsu ◽

Yoshihiro Kushida ◽

Saya Ikegami ◽

...

Keyword(s):

Clinical Investigation ◽

Data Bank ◽

Burn Patients ◽

Japan Trauma Data Bank

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The Clinical Investigation of Pre- and Post-Operative Liver Function after Halothane Anesthesia in the Electric Burn Patients

Korean Journal of Anesthesiology ◽

10.4097/kjae.1983.16.4.320 ◽

1983 ◽

Vol 16 (4) ◽

pp. 320

Author(s):

Yeo Song Cho ◽

Soon Ok Sung ◽

Choon Nam Park ◽

Chang Jae Kwon

Keyword(s):

Liver Function ◽

Clinical Investigation ◽

Burn Patients ◽

Halothane Anesthesia

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Effects of compression during formation on the microstructure of composite hydroxylapatite/plaster implants for bone reconstruction

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100105813 ◽

1988 ◽

Vol 46 ◽

pp. 750-751

Author(s):

J. Hanker ◽

K. Cowden ◽

R. Noecker ◽

P. Yates ◽

N. Georgiade ◽

...

Keyword(s):

Cosmetic Surgery ◽

Glass Plate ◽

Surgical Reconstruction ◽

Equal Weight ◽

Sintered Ceramic ◽

Setting Times ◽

Excess Water ◽

Mixture Prior ◽

Mechanical Strengths ◽

Calcium Sulfate Hemihydrate

Composites of plaster of Paris (PP) and hydroxylapatite (HA) particles are being applied for the surgical reconstruction of craniofacial bone defects and for cosmetic surgery. Two types of HA particles are being employed, the dense sintered ceramic (DHA) and the porous, coralline hydroxylapatite (PHA) particles. Excess water is expressed out of the moistened HA/PP mixture prior to implantation and setting by pressing it in a non-tapered syringe against a glass plate. This results in implants with faster setting times and greater mechanical strengths. It was therefore of interest to compare samples of the compressed versus noncompressed mixtures to see whether or not any changes in their microstructure after setting could be related to these different properties.USG Medical Grade Calcium Sulfate Hemihydrate (which has the lowest mortar consistency of any known plaster) was mixed with an equal weight of Interpore 200 particles (a commercial form of PHA). After moistening with a minimum amount of water, disc-shaped noncompressed samples were made by filling small holes (0.339 in. diameter x 0.053 in. deep) in polypropylene molds with a microspatula.

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589: Tissue Engineered Tubularized Urethra for Surgical Reconstruction: A Pre-Clinical Study

The Journal of Urology ◽

10.1016/s0022-5347(18)30829-2 ◽

2007 ◽

Vol 177 (4S) ◽

pp. 197-197 ◽

Cited By ~ 2

Author(s):

Hazem O. Orabi ◽

Tamer A. Aboushwareb ◽

Yuan Yuan Zhang ◽

James J. Yoo ◽

Anthony Atala

Keyword(s):

Clinical Study ◽

Surgical Reconstruction

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Surgical reconstruction for unilateral iliac artery lesions in patients younger than 50 years

VASA ◽

10.1024/0301-1526/a000151 ◽

2011 ◽

Vol 40 (6) ◽

pp. 474-481 ◽

Cited By ~ 1

Author(s):

Radak ◽

Babic ◽

Ilijevski ◽

Jocic ◽

Aleksic ◽

...

Keyword(s):

Diabetes Mellitus ◽

Limb Salvage ◽

Iliac Artery ◽

Graft Patency ◽

Long Term Results ◽

Surgical Reconstruction ◽

Safe Procedure ◽

Term Survival

Background: To evaluate safety, short and long-term graft patency, clinical success rates, and factors associated with patency, limb salvage and mortality after surgical reconstruction in patients younger than 50 years of age who had undergone unilateral iliac artery bypass surgery. Patients and methods: From January 2000 to January 2010, 65 consecutive reconstructive vascular operations were performed in 22 women and 43 men of age < 50 years with unilateral iliac atherosclerotic lesions and claudication or chronic limb ischemia. All patients were followed at 1, 3, 6, and 12 months after surgery and every 6 months thereafter. Results: There was in-hospital vascular graft thrombosis in four (6.1 %) patients. No in-hospital deaths occurred. Median follow-up was 49.6 ± 33 months. Primary patency rates at 1-, 3-, 5-, and 10-year were 92.2 %, 85.6 %, 73.6 %, and 56.5 %, respectively. Seven patients passed away during follow-up of which four patients due to coronary artery disease, two patients due to cerebrovascular disease and one patient due to malignancy. Limb salvage rate after 1-, 3-, 5-, and 10-year follow-up was 100 %, 100 %, 96.3 %, and 91.2 %, respectively. Cox regression analysis including age, sex, risk factors for vascular disease, indication for treatment, preoperative ABI, lesion length, graft diameter and type of pre-procedural lesion (stenosis/occlusion), showed that only age (beta - 0.281, expected beta 0.755, p = 0.007) and presence of diabetes mellitus during index surgery (beta - 1.292, expected beta 0.275, p = 0.026) were found to be significant predictors of diminishing graft patency during the follow-up. Presence of diabetes mellitus during index surgery (beta - 1.246, expected beta 0.291, p = 0.034) was the only variable predicting mortality. Conclusions: Surgical treatment for unilateral iliac lesions in patients with premature atherosclerosis is a safe procedure with a low operative risk and acceptable long-term results. Diabetes mellitus and age at index surgery are predictive for low graft patency. Presence of diabetes is associated with decreased long-term survival.

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