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

Menè, A.; Biswas, Gautam; Parashar, Atul; Bhattacharya, Anish

doi:10.5492/wjccm.v5.i4.228

Cited by 4 publications

(6 citation statements)

References 15 publications

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“…Prevention of electrical injuries is still difficult in this group because of work-related risks. 12,13 The results of other studies showed the same results that the cause of electrical injury mainly occurred while working.…”

Section: Discussionmentioning

confidence: 55%

“…The average age of patients with electric burns was 27.40 for men and 18.80 for women. 11 A study by Mene (2016) showed a total of 16 patients ranging from 10-45 years old, with the average age being 26 years old. 12,13 Another study showed that most patients aged 30-40 years old.…”

Section: Discussionmentioning

confidence: 99%

“…11 A study by Mene (2016) showed a total of 16 patients ranging from 10-45 years old, with the average age being 26 years old. 12,13 Another study showed that most patients aged 30-40 years old. This age group is more vulnerable to electric burns because they work a lot using electrical devices and instruments.…”

Section: Discussionmentioning

confidence: 99%

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The Incidence Pattern of Electrical Burns at the Department of Plastic Surgery Dr. Soetomo General Academic Hospital, Surabaya, from January 2014 to December 2017

Merilyne

Perdanakusuma

Astari

2023

JUXTA

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Highlights:1. Electrical burns may progress even when the source has been removed.2. The most common age group to suffer from electrical burns was the 26–35 years old group.3. There was a significant association between electrical burns and the productive age of male employees who work in the private sector. AbstractIntroduction: Burns are direct or indirect damage to the skin tissue and can reach internal organs. This study aimed to investigate the incidence pattern of electrical burn patients at the Department of Plastic Surgery Dr. Soetomo General Academic Hospital, Surabaya, from 1 January 2014 to 31 December 2017, focusing on the age, gender, and occupation aspect of the patients.Methods: This was a descriptive retrospective study evaluating 50 patients treated for electrical burns from 1 January 2014 to 31 December 2017 using the patients’ medical records. The parameters assessed were age, gender, occupation, cause of injury, and annual incident. The data was collected from the medical records Dr. Soetomo General Academic Hospital, Surabaya.Results: Most electrical injuries occurred in May, as many as 12 (24%) patients. There were 49 (98%) male and 1 (2%) female patients. The patients ranged from 8–60 years old, with 17 (34%) patients in the 26-35 age group. 76% of patients were private employees. Work accidents caused approximately 82% of electrical injuries.Conclusion: There was a significant association between electric burns with males at productive age and working as private employees. Many electric accidents occurred while working, especially in May.

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

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The Incidence Pattern of Electrical Burns at the Department of Plastic Surgery Dr. Soetomo General Academic Hospital, Surabaya, from January 2014 to December 2017

Merilyne

Perdanakusuma

Astari

2023

JUXTA

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“…The follow-up scan showed no new 'cold' areas and the measured non-tracer avid area showed no significant difference, thereby suggesting that extent of bone viability predicted in the pre-operative scan was accurate in all the cases. Previous studies have reported the efficacy of radionuclide scintigraphy for prediction of bone viability in electrical contact burns of limbs [9][10][11].…”

Section: Discussionmentioning

confidence: 99%

“…A variety of objective tools used for assessing bone viability have shown limitations [9,10]. Radioisotope bone imaging has been successfully used as an objective tool for assessment of bone viability in electrical injuries [10,11]. This study was conducted to evaluate the role of 18 F Sodium Fluoride PET - Computed Tomography ( 18 F NaF PET-CT) in aiding the surgeon in anatomical localization of the extent and depth of dead and viable bone in electrical contact burns of the scalp.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of skull bone viability and effect of early surgical intervention in electrical contact burns using 18F-Sodium Fluoride PET-CT imaging

Kumar,

Arora,

Kumar

et al. 2024

Nuclear Medicine Communications

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Objective Electrical contact burns of the scalp cause serious morbidity and mortality. Early necrotic bone debridement and flap cover are crucial for successful wound closure. 18F Sodium Fluoride (NaF), with high bone-to-soft tissue activity ratio, is useful for bone viability assessment. This study evaluated the role of 18F NaF PET-computed tomography (CT) in objectively defining the extent and depth of nonviable calvarial bone, to guide adequate bone debridement. Method Of 20 patients referred to our institute with electrical contact burns of the scalp during a 2-year period, 15 were enrolled in the study. Two weeks after the initial management, tracer uptake pattern was noted on 18F NaF PET-CT of the head and exposed bone measured. Surgical bone debridement was based on scan findings, followed by wound closure. All patients underwent clinical evaluation and follow-up scan 3 months after surgery. Results Eight patients showed a central photopenic area in the exposed bone (maximum standardized uptake value [SUVmax] of 0.76 ± 0.14 with mean maximum dimensions 4.10 ± 1.76/2.67 ± 1.54 cm). High tracer uptake (SUVmax, 9.66 ± 6.03) was seen peripheral to the exposed bone (mean maximum dimensions, 8.14 ± 3.03/4.75 ± 1.61 cm). Postoperatively, there was no significant change in tracer uptake in the central debrided region or peri-debridement bone area under the flap. Clinically all patients showed a well-healed flap. Conclusion 18F NaF PET-CT appears useful for objective evaluation of skull bone viability and planning necrotic bone debridement in patients with electrical contact burns. However, additional studies with longer patient follow-up are required to validate these results.

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Electrical Burns in Albania and their Treatment: A Review of Cases Treated in 2019–2020

Xhepa,

Isaraj,

Zikaj

et al. 2023

Open Access Maced J Med Sci

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BACKGROUND: Electrical burns, although constituting a small part of the burns treated in a tertiary hospital, remain a constant burden to the medical staff, due to the nature of the causative agent. PATIENTS AND METHODS: After the Institutional Review Board approval, a retrospective study was performed including all the patients admitted to the Service of Burns and Plastic Surgery, University Hospital Center “Mother Theresa” of Tirana, Albania, from January 2018 to December 2019. Descriptive statistics was used to review the cases for age distribution, body surface area burned, points of entry and exit of the current, acute and late complications, surgical approach, and timing of the latter. RESULTS: Twenty-six patients were admitted during this period, of which 22 suffered a real electrical burn, four of them having only superficial damage from the flash of the electric arc without direct contact with the electrical source. Mean hospital stay was 58.1 days for true electrical burns and 7.5 days for burns from electrical arc. Each patient underwent three surgical interventions in average, of which 20% were fasciotomies, 30% were eschar excision, 35% were reconstructive procedures, and 15% were amputations. Only one fatal outcome was registered. About 36% of the patients were children and the only death was registered among them. Most of cases were due to neglect of safety measures while working with the electrical power, although being professional qualified workers. Acute complications were myoglobinuria, cardiac rhythm disorders, respiratory acidosis, psychomotor agitation, brain concussion and contusion, and acute bleeding. Anemia is the most common late complication. CONCLUSIONS: The prevention is still the best treatment, especially for true electrical burns. Working with the corporate that controls the production and transmission of the electrical power could further reduce the incidence of true electrical burns, while moving to more aggressive surgical approach to such burns might avoid long-term complications and degree of invalidity caused by them.

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

Cited by 4 publications

References 15 publications

The Incidence Pattern of Electrical Burns at the Department of Plastic Surgery Dr. Soetomo General Academic Hospital, Surabaya, from January 2014 to December 2017

The Incidence Pattern of Electrical Burns at the Department of Plastic Surgery Dr. Soetomo General Academic Hospital, Surabaya, from January 2014 to December 2017

Evaluation of skull bone viability and effect of early surgical intervention in electrical contact burns using 18F-Sodium Fluoride PET-CT imaging

Electrical Burns in Albania and their Treatment: A Review of Cases Treated in 2019–2020

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