BACKGROUND With the advances in technology, electrical injuries are becoming more common and are the leading cause of work-related traumatic death. One third of all electrical traumas and most high-voltage injuries are job related and more than 50% of these injuries result from power line contact. The management of the major burn injury represents a significant challenge to every member of the burns team. Most of electrical burns present with gangrene of toes and limbs with eschar over body parts. Their presentation is mostly due to contact with high-voltage electricity at their work places. MATERIALS AND METHODS A retrospective study was made to study the clinico-social profile of patients suffering electric burns admitted into Department of General Surgery. RESULTS 92 cases were evaluated and studied. Majority of patients developed gangrene of limbs and toes. Amputations and skin grafting was done. Most patients who suffered electric burns were males of age group 21 to 40 years. All cases are accidental and mostly occurred at work places. Most electric burns are high-voltage based and caused deep burns. Major complications like acute renal failure and septicaemia were encountered. Most of them suffered 16 to 30% burns. Most commonly isolated organism from wounds is pseudomonas. Most of them suffered a hospital stay of 1 to 2 months.
Introduction: Enterocutaneous stulas pose a great challenge to General surgeons as well as Gastrosurgeons. About 75%–85% of enterocutaneous stulas are iatrogenic in origin. Reported mortality rates range from 6%–33%. Knowing the factors contributing to mortality in ECF would help overcome the burden. This is Materials and Methods: a retrospective study of 42 enterocutaneous stula patients treated at Department of General Surgery, Government General Hospital, Kakinada over a span of 4 years from June 2018- June 2022. Out of 42 cases, 16 have expired. The most common primary etiology was Results: malignancy and the highest association with mortality was noted with mesenteric ischemia. ECF from large bowel had higher mortality. Sepsis(p value – 0.02) was associated with higher mortality. High output stulas had higher mortality. Hypoalbuminemia(p value – 0.02), associated Acute Kidney Injury (p value <0.0001), those on TPN(p value – 0.02) and those surgically managed(p value – 0.0003) were signicantly contributing to mortality. Despite many Conclusion: advances, enterocutaneous stulas still contribute to a signicant mortality rate. Control of sepsis, building the nutrition and correction of electrolyte abnormalities should be focused upon as they can improve the outcome in these patients.
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