Perineal burn contractures: An experience in tertiary hospital of a Himalayan state

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

doi:10.4103/0970-0358.39666

Cited by 9 publications

(15 citation statements)

References 11 publications

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“…This is probably one of the few case reports of a patient with such severe post burn deformity of the perineum and the lower abdomen to the degree that the clitoris, and the labias anterior 2/3 almost invisible, presenting in the third trimester of her pregnancy due to childhood burns. Post burn contracture of the perineum is a rare burn sequel and the present case report is a secondary perineal burn contracture[ 1 ] with burns not involving the perineum directly but causing obliteration of the perineum by forming scar bands across the external genitalia. The mean age of patients at time of burns in such cases is 7.…”

Section: Discussionmentioning

confidence: 99%

A pregnant patient with fetal distress with severe post burn contracture of anterior trunk and perineum: A surgeon’s nightmare!

Vathulya¹,

Joshi

2014

Indian J Plast Surg

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Introduction:A case report of a pregnant lady in the third trimester, presenting in the emergency with absent fetal movements is being described. A multi-speciality expertise was involved and a full term female baby was delivered.Presentation:The patient presented in a Government hospital, Dehradun, India. At the time of presentation the fetal heart sounds were absent and subsequently the severe post-burn deformity involving the anterior trunk, perineum and thighs were discovered.Management:Immediately a multi-speciality approach involving the plastic, obstetrics and pediatrics field were called for and an emergency caesarean with simultaneous contracture release with split skin grafts were performed after optimizing the patient for surgery.Conclusion:This is one of the first case reports reporting this rare combination of post burn contracture of trunk and perineum with fetal distress requiring emergency caesarean section along with release of abdominal and perineal post-burn contracture. This case interestingly reinforces that in such complicated cases a systematic and a combined multi-speciality approach still holds the key to patient's treatment even in district hospitals.

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Section: Discussionmentioning

confidence: 99%

A pregnant patient with fetal distress with severe post burn contracture of anterior trunk and perineum: A surgeon’s nightmare!

Vathulya¹,

Joshi

2014

Indian J Plast Surg

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“…Abdel-Razek [ 1 ] reported accidental chemical (sulphuric acid) burns to the genitalia. Thakur et al [ 2 ] reported perineal burns caused by fire wood used in open “chullah.” In our series burns to the groin and perineum were mostly due to “Kangri” use (77.56%), open “chullah” (8.16%), hot water (8.16%), and flames (6.12%).…”

Section: Discussionmentioning

confidence: 99%

“…Child abuse is also a risk factor in perineal and genital burns [ 8 ]. “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 [ 2 ]. 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 genital burns [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

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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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“…[1] Early excision of burns of the penile shaft and repair with a preputial flap or mesh split skin graft produces excellent results, with a reduction in complications. [2] Educating people for early medical consultation and proper postoperative care and rehabilitation can prevent these burn sequelae.…”

mentioning

confidence: 99%

Scald burn mimicking genitalia amputation

Mohammadi

Johari

2012

J Cutan Aesthet Surg

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Perineal burn contractures: An experience in tertiary hospital of a Himalayan state

Cited by 9 publications

References 11 publications

A pregnant patient with fetal distress with severe post burn contracture of anterior trunk and perineum: A surgeon’s nightmare!

A pregnant patient with fetal distress with severe post burn contracture of anterior trunk and perineum: A surgeon’s nightmare!

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

Scald burn mimicking genitalia amputation

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