EARLY EXCISION AND GRAFTING VERSUS CONSERVATIVE TREATMENT IN THE MANAGEMENT OF MAJOR BURNS: A COMPARATIVE STUDY

Autor:	Kinkar Munian Dr, Utpal Kumar Bit Prof Dr, Warke Ameya Vasudeo Dr
Rok vydání:	2019
Předmět:	Conservative treatment medicine.medical_specialty business.industry Grafting (decision trees) medicine business Surgery
Zdroj:	INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH. :1-5
DOI:	10.36106/3204532
Popis:	Background : 1 Full thickness burns lose their eschar in 2-6 weeks through bacterial collagenase production and daily mechanical debridement . The practice of leaving these dead tissues only serves as a nidus for infection that can lead to the patient's death. Hence the standard procedure is surgical removal of eschar with grafting techniques. Methods:Atotal of 50 patients divided in 25 patients in each group were included first group was managed conservatively and second underwent th early excision and grafting within 5 day upto 10% TBSA. Results: Early excision and grafting patients required significantly (p=0.04) more blood transfusions than conservatively managed patients. The mean hospital stay was significantly (p=0.05) lower by 10 days in early excision and grafting than conservatively managed. Conclusion : Early Excision and Grafting group was found to have significantly shorter hospital stay with decresed painful debridement but required more blood transfusions than conservatively managed patients.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cc7df98434dcc1b2e5c4c04d9073a17d https://doi.org/10.36106/3204532 Zobrazit plný text záznamu