scholarly journals Study of soft tissue reconstruction in postburn flexion contracture of the hand

2021 ◽  
Author(s):  
Nagaraj Gareikpatii
Keyword(s):  
Flexion Contracture ◽  
Burn Injuries ◽  
Split Thickness Skin Graft ◽  
Soft Tissue Reconstruction ◽  
Thickness Skin ◽  
Contracture Release ◽  
Tissue Reconstruction ◽  
Thermal Injuries ◽  
Electrical Burns ◽  
Burn Hand

Background: Burn contracture of the hand can leave patients with severe functional and psychological limitations. This study evaluates the severity of the deformity and various reconstructive options in post-burn hand injuries.Methods: This work includes the study of 50 patients who underwent reconstruction for post-burn flexion contracture of the hand, including fingers, in the department of plastic surgery. The patients were treated between April 2007 to April 2009.Results: Males were more commonly affected by burn injuries and thermal burns were more common than electrical burns. The little finger showed higher involvement and contracture release followed by grafting was the commonly done reconstructive procedure.Conclusions: Split thickness skin graft (SSG) were more effective in reconstruction in thermal injuries, while cross finger flaps (CFF) showed more promise in electrical injuries of the hand. 

scholarly journals MANAGEMENT OF ACCIDENTAL THERMAL BURNS DUE TO BURNING OF HOUSEHOLD WASTE IN RURAL AREAS OF KERALA: AN INSTITUTIONAL STUDY

2020 ◽  
pp. 1-4
Author(s):  
Hemang Sanghvi ◽  
Geetanjali Remesh ◽  
Pradeoth Mukundan Korambayil
Keyword(s):  
Prospective Study ◽  
Rural Areas ◽  
Oxygen Therapy ◽  
Burn Injuries ◽  
Household Waste ◽  
Split Thickness Skin Graft ◽  
Thermal Burns ◽  
Thickness Skin ◽  
History Of ◽  
Thermal Injuries

Aim: The aim of this study was to and out epidemiology and treatment of thermal injuries due to burning of household waste, a common practice in rural areas of Kerala. Material And Methods: Prospective study was carried out in the department of burns and plastic surgery from 1stJanuary 2018 to 29th February 2020. All patients with history of burns due to burning of household waste in rural areas of Kerala during this period were included in our study.Patients were managed with conservative management or surgical debridement and split thickness skin graft. Hyperbaric oxygen therapy was given as an adjunct. Results: A total of 670 patients were admitted in our burnsdepartment out of which 75 patients were due to burning of householdwaste. Thirty-three patients were male and Forty-two patients were female. Most of them had around 10-30 percent thermal burns. Mortality was 6.6 percent. Most of the burns involved lower extremity and upper extremity. Conclusions: Burning of household waste is a common practice in outskirts of Kerala which leads to accidental burns resulting in a signicant number of admissions in our hospital. Proper awareness and facility for waste disposal is needed to avoid burn injuries due to burning of waste in rural areas.

scholarly journals Surgical Management of Post Burn Hand Deformities

2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Suneel Kumar ◽  
Faisal Akhlaq ◽  
Hyder Ali ◽  
Saba Kiran
Keyword(s):  
Surgical Management ◽  
Surgical Procedures ◽  
Skin Graft ◽  
Health Science ◽  
Split Thickness Skin Graft ◽  
Creative Commons ◽  
Thickness Skin ◽  
Hand Deformities ◽  
Contracture Release ◽  
Burn Hand

Objective: To evaluate the efficacy of different surgical procedures on post burn contracture of hand. Methods: A quasi-experimental study design was conducted at the Department of Plastics and Reconstructive Surgery, Dow University of Health Science, DR. Ruth KM Pfau, Civil Hospital, Karachi, Pakistan from 1st June 2019 to 30th November 2019. Ninety-three participants of burned hand contracture of either gender, aged between 6- 60 years were included in the study. Resurfacing surgery with skin graft and loco-regional flaps were done according to type of contracture with individualization for each patient. All patients were kept under follow up for ninety days to assess efficacy of contracture release for each surgical procedure was noted. SPSS version 23 was used to analyse data. Results: Full thickness skin graft (FTSG) was performed in 60.2% cases, 17.2% with split thickness skin graft (STSG) and 12.9% with cross finger flaps. About 25% of recurrence was observed in cross finger flaps, whereas no recurrence was seen in Z-plasties and posterior interosseous flap. The significant association was between recurrence and surgical procedures (p<0.05). Conclusion: Z-plasty followed by FTSG was effective in the management of post burn contractures of hand. doi: https://doi.org/10.12669/pjms.36.6.2206 How to cite this:Kumar S, Khan FAA, Ali H, Kiran S. Surgical Management of Post Burn Hand Deformities. Pak J Med Sci. 2020;36(6):---------.  doi: https://doi.org/10.12669/pjms.36.6.2206 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Post-Operative Complications in Tram Flap Breast Reconstruction after Mastectomy

2018 ◽  
Vol 1 (Supplement) ◽  
pp. 47
Author(s):  
S.V. Parasca ◽  
B.F. Iosif ◽  
A. Costeschi ◽  
O. Popescu ◽  
M. Roznovanu
Keyword(s):  
Breast Reconstruction ◽  
Left Breast ◽  
Long Term Results ◽  
Split Thickness Skin Graft ◽  
Tram Flap ◽  
Thickness Skin ◽  
Tissue Reconstruction ◽  
Umbilical Scar ◽  
Reconstructive Techniques

Abstract Introduction. Breast cancer is the main cause of mortality for neoplastic diseases in women worldwide. Since the incidence is increasing every year, the need for reconstructive techniques increases and autologous tissue reconstruction procedures are also gaining ground over the more popular expander/ implant techniques. A hypertensive and obese patient is admitted by SCUCPRA’s Chronic Diseases Service, with a postmastectomy scar on the left breast, with normal aspect. A TRAM Flap is performed through an oblique tunnel for transposing the tissue over the defect. The abdominal defect was covered with polypropylene mesh. Three days post-operatory, the patient presented an umbilical necrotic scar of 6/ 3 cm and a 4/ 3 cm necrotic scar in the medial zone of the TRAM Flap. Materials and method. Four days post-operatory, the patient presented a 10/ 5 cm brown-black colored dehiscent umbilical scar and 2 dehiscent areas of 4/ 1 cm and 5/ 1 cm inferior and superior, on the TRAM Flap. Excisional debridement of the ulceration was performed, and the abdominal defect was covered with a split-thickness skin graft. The TRAM Flap was also debrided and immediate suture was performed. Conclusions and results. Necrosis is an important complication that can occur both at the abdominal level, as well as on the TRAM Flap, after a breast reconstruction, affecting both the general state of the patient and the long-term results of the reconstructive method.

scholarly journals The Effect of Early Tangential Excision and Split Thickness Skin Graft in Reducing Length of Stay in Burns Patients in Jakarta Islamic Hospital Cempaka Putih

2021 ◽  
Vol 8 (1) ◽  
pp. 15-20
Author(s):  
Gammaditya Adhibarata Winarno ◽  
Aditya Wardhana ◽  
Sanjaya Faisal Tanjunga ◽  
A. S Augiani ◽  
An’umillah Arini Zidna
Keyword(s):  
Length Of Stay ◽  
Skin Graft ◽  
Burn Injury ◽  
Study Groups ◽  
Cross Sectional Study ◽  
Burn Injuries ◽  
Split Thickness Skin Graft ◽  
Burn Patients ◽  
Cross Sectional ◽  
Thickness Skin

Introduction: Early tangential excision (TE) and split-thickness skin graft (STSG) have increased the outcome in burn patients treated at specialized burn centers. This study was conducted to compare the length of stay (LOS) in burn patients undergoing early TE & STSG and delayed TE & STSG. Method: This is a retrospective cross-sectional study including 42 patients with varied burn degrees, and TBSA admitted to Jakarta Islamic Hospital Cempaka Putih (JIHCP) Burn Unit. Patients were assigned to two study groups, the early TE & STSG group including 32 patients and the delayed TE & STSG group including 10 patients. All data were collected from the medical record and compared between two study groups. Result: The mean of LOS in a group with early TE & STSG was shorter (9.81±6.41 days) than LOS in the delayed TE & STSG group (15.80±5.67 days). The data of LOS between these groups were compared using an independent T-test. The LOS in the early TE & STSG group was significantly shorter than the delayed TE & STSG group (p=0.012). Conclusion: In patients with burn injuries, early TE & STSG is associated with a shorter length of stay than the delayed TE & STSG. Our study indicates that early excision within five days after burn injury is optimal to reduce the length of stay in burn patients.

scholarly journals Correction of Hand Deformities after Burn

2021 ◽  
Author(s):  
Daegu Son
Keyword(s):  
Skin Graft ◽  
Hand Function ◽  
Donor Site ◽  
Flexion Contracture ◽  
Thickness Skin ◽  
Hand Deformities ◽  
Web Space ◽  
Hand Burns ◽  
Burn Hand ◽  
Skin Contractures

Hand burns can lead to deformities even after successful primary healing. They are the most common cause of skin contractures involving the hand. This review article discusses ways to correct claw deformity, flexion contracture in palm and finger, and web space contracture, which are post-burn hand deformities commonly encountered in clinical practice. Loss of skin is the end result in many causes of hand deformities after burn. Therefore, reinforcing the lost skin is the principle of corrective surgery. Even if the skin is thicker than the full-thickness skin, it will engraft if damage to the tissue and blood vessels of the recipient is minimized. The thicker the skin, the less is the re-contraction and growth. The foot is an ideal donor site for skin graft on the hand. In particular, the instep or the area below the malleolar is a very good donor site. First web space of the hand is very important for hand function, and it must be reconstructed with Z-plasty, skin graft, and free flap step by step according to the degree of contraction.

Analysis of the microcirculation after soft tissue reconstruction of the outer ear with burns in patients with severe burn injuries

2016 ◽  
Vol 69 (7) ◽  
pp. 988-993 ◽  
Author(s):  
Fabian Medved ◽  
Raluca Medesan ◽  
Jens Martin Rothenberger ◽  
Hans-Eberhard Schaller ◽  
Thomas Schoeller ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Burn Injuries ◽  
Soft Tissue Reconstruction ◽  
Severe Burn ◽  
Tissue Reconstruction ◽  
Severe Burn Injuries

scholarly journals The Versatile Use of the Latissimus Dorsi Muscle Flap in Electrical Burn Injuries

2017 ◽  
Vol 6 (1) ◽  
pp. 15
Author(s):  
G Karthikeyan ◽  
Angeline Selvaraj ◽  
B. Rajeswari
Keyword(s):  
Latissimus Dorsi ◽  
Muscle Flap ◽  
Latissimus Dorsi Muscle ◽  
Burn Injuries ◽  
Latissimus Dorsi Muscle Flap ◽  
Amputation Stumps ◽  
Dorsi Muscle ◽  
Thermal Injuries ◽  
Electrical Burns ◽  
Electrical Injuries

Electricity is an indispensable part of civilization. It is often taken for granted, and can sometimes take away limbs, and at times, life. When a human being comes in contact with electricity, burns can ensue. These electrical burns are the most devastating of all thermal injuries on a size for size basis<sup>5</sup> and involve skin and deeper tissues. 90% of electrical injuries are accidental and nearly two-thirds occur at the work spot. Young, working males are commonly affected with frequent amputation of dominant limbs. This paper analyses the different uses of the latissimus dorsi muscle flap in the reconstruction of electrical burn raw areas and in the salvage of the amputation stumps.

scholarly journals Treatment Strategy for an Electrical Burn Patient with Multiple Fourth-Degree Wounds

2020 ◽  
Vol 16 (2) ◽  
pp. 121-124
Author(s):  
Kun Yong Sung ◽  
Seung Je Lee ◽  
Hong Sil Joo
Keyword(s):  
High Voltage ◽  
Subcutaneous Fat ◽  
Acellular Dermal Matrix ◽  
Foot Drop ◽  
Split Thickness Skin Graft ◽  
Dermal Matrix ◽  
Fourth Degree ◽  
Thickness Skin ◽  
Electrical Burns

Electrical burns, especially high-voltage burns, usually cause necrosis of the subcutaneous fat, fascia, muscle, and bone. The reconstruction of electrical injuries often involves multiple surgeries. We present the case of a 56-year-old man who was injured by a high-voltage current resulting in multiple soft tissue defects on the left ankle and plantar area. The wounds on the malleolar and lateral plantar areas had burned the muscle, tendon, and bone. Because the patient had multiple wounds and unstable vessels, we took the strategy of operating in stages. The primary aim of treatment was wound healing and maintaining the support structure for mobility. Several rounds of wide debridement and negative-pressure wound therapy, followed by application of acellular dermal matrix and split-thickness skin graft were performed as part of the first stage. At the 1-year follow-up, the patient could walk independently wearing a splint to prevent foot drop. A second reconstructive surgery is possible, if necessary.

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