Extrinsic post burn peri-anal contracture leading to sub acute intestinal obstruction: A case report

Thakur, Jagdeep S; Chauhan, Cgs; Diwana, Vijay Kumar; Thakur, Ashwani Kumar

doi:10.1186/1757-1626-1-117

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…[4] Child abuse is also a risk factor in perineal and genital burns. [5] "Chullah," an earthen made stove in which wood is used as fuel in the rural areas of India, is important cause for the perineal burns. [6] Use of loose clothes during cooking, spilling of kerosene on the clothes from a burning stove, or explosion of such stoves are also associated with perineal and genitalburns.…”

Section: Introductionmentioning

confidence: 99%

Skin Grafting in Post burn contractures of Groin and perineum in patients

Arra Priyanka

2024

IARJMSR

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Background: Groin and perineal burn contracture is a rare postburn sequel. Such postburn contractures causes distressing symptoms to the patients and in the management of these contractures, both functional and cosmetic appearance should be the primary concern. Material and Methods: This is prospective and descriptive study conducted in the Department of Plastic Surgery at Tertiary Care Teaching Hospital over a period of 1 Year. First dressing was seen on third or fourth postoperative day and percentage of graft take/loss was noted. Complications, if any, were recorded. Indwelling urinary catheter drainage was instituted for 3 to 4 days postoperatively. Once the graft stabilized, patients were discharged and advised to wear compression garments. Results: In our study, 77.1% of the patients, post burn contractures of the groin and perineum were because of Open chulla. Other less common causes were hot water (14.3%) and flame burn (8.6%). Majority of the patients were brought with complaints of difficulty in squatting (80.0%) followed by limitation of movements of hip joints (71.4%) and (44.3%) impairment of walking. In our series of 70 patients two types of operative procedures were performed: (1) release of contracture with split thickness skin grafting; (2) release of contracture and closure by multiple Zplasties. Moreover, 30 (42.9%) patients having bilateral groin contractures underwent release of contracture with split thickness skin grafting. 29 (41.4%) patients underwent release of unilateral groin contracture with split thickness skin grafting and 4 (5.7%) patients underwent release of unilateral groin contracture and closure by multiple Zplasties.Conclusion: To conclude, recuperation from perineal burns, both in acute period and chronic phase in case contracture occurs, is a difficult challenge physically and mentally. The agony that a burn patientendures during treatment is evident even to an onlooker.

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Section: Introductionmentioning

confidence: 99%

Skin Grafting in Post burn contractures of Groin and perineum in patients

Arra Priyanka

2024

IARJMSR

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“…Various other complications such as intestinal obstruction, anal stenosis with megarectum, and gluteal pouching with total effacement of the gluteal folds and hooding of the rectum is also been noted in medical literature. 5 burns team. While managing contractures, both functional and cosmetic aspects are of concern.…”

Section: Introductionmentioning

confidence: 99%

Management of post burn groin contracture: a case account

et al. 2021

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Similar to burns of the face, hands, and feet, groin and perineal burn injuries result in physical as well as psychosocial scarring for the patient. It often results in loss of functionality which is usually out of proportion to the percentage of burns. Hence, these burns are classified as major burns. Direct injury to the genitalia can lead to sexual dysfunction. In such circumstances, the treatment plan should comprehensively look into even psychosocial aspects of the patient. Both functional and cosmetic appearance should be the primary concern. With scarcely available burns unit and dedicated hospitals in India to treat burns, patients often develop severe contractures without proper post burns care. Most of the burn patients end up being treated by staff without special training in burn care. A variety of surgical procedures in post burn contractures of groin and perineum have been described all aimed to achieve satisfactory functional and cosmetic outcome. However, advantages of long-term care with regular physiotherapy, use of pressure garments, and massaging with emollient creams should not be overlooked and cannot be overemphasized. We present such a case of a young female with poor post burns care which resulted in post burn contracture of the groin and perineal area and had to endure with inconveniences. Patient was treated in our department adequately.

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“…Since the contracture is not in a stabilized position, recurrent ulceration may occur and in exceptional cases squamous cell carcinoma (Marjolin's ulcer) may develop [ 11 ]. Various complications of perineal burn contracture like intestinal obstruction, anal stenosis with megarectum, and gluteal pouching with total effacement of the gluteal folds and hooding of the rectum have also been reported [ 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

Outcome of Split Thickness Skin Grafting and Multiple Z-Plasties in Postburn Contractures of Groin and Perineum: A 15-Year Experience

Wani

Hamid

2014

Plastic Surgery International

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Background. Groin and perineal burn contracture is a rare postburn sequel. Such postburn contractures causes distressing symptoms to the patients and in the management of these contractures, both functional and cosmetic appearance should be the primary concern. Aims. To study the outcome of surgical treatment (STSG and multiple Z-plasties) in postburn contractures of groin and perineum. Material and Methods. We conducted a study of 49 patients, with postburn groin and perineal contractures. Release of contracture with split thickness skin grafting (STSG) was done in 44 (89.79%) patients and release of contracture and closure by multiple Z-plasties was done in 5 (10.21%) patients. Results. Satisfactory functional and cosmetic outcome was seen in 44 (89.79%) patients. Minor secondary contractures of the graft were seen in 3 (6.81%) patients who were managed by physiotherapy and partial recurrence of the contracture in 4 (8.16%) patients required secondary surgery. Conclusion. We conclude that postburn contractures of the groin and perineum can be successfully treated with release of contracture followed by STSG with satisfactory functional and cosmetic results. Long term measures like regular physiotherapy, use of pressure garments, and messaging with emollient creams should not be neglected and should be instituted postoperatively to prevent secondary contractures of the graft and recurrence of the contracture.

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Extrinsic post burn peri-anal contracture leading to sub acute intestinal obstruction: A case report

Cited by 3 publications

References 4 publications

Skin Grafting in Post burn contractures of Groin and perineum in patients

Skin Grafting in Post burn contractures of Groin and perineum in patients

Management of post burn groin contracture: a case account

Outcome of Split Thickness Skin Grafting and Multiple Z-Plasties in Postburn Contractures of Groin and Perineum: A 15-Year Experience

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