LIFE-THREATENING BURNS CAUSED BY HOUSEHOLD CHEMICALS
Background Chemical burns are 2.5 % to 5.1% of all burn injuries. Burns caused with household chemicals occur even more rarely. Because of its relative rarity there is no common surgical tactics for such patients. This type of burn trauma still remains under discussion. Aim of study Optimization of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2018-04-01
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| Series: | Неотложная медицинская помощь |
| Subjects: | |
| Online Access: | https://www.jnmp.ru/jour/article/view/438 |
| _version_ | 1797757354494656512 |
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| author | K. M. Krylov D. O. Vagner E. V. Zinoviev K. E. Michunsky V. N. Yurina |
| author_facet | K. M. Krylov D. O. Vagner E. V. Zinoviev K. E. Michunsky V. N. Yurina |
| author_sort | K. M. Krylov |
| collection | DOAJ |
| description | Background Chemical burns are 2.5 % to 5.1% of all burn injuries. Burns caused with household chemicals occur even more rarely. Because of its relative rarity there is no common surgical tactics for such patients. This type of burn trauma still remains under discussion. Aim of study Optimization of surgical treatment tactics in patients with severe chemical burns caused by household chemicals. Material and methods Medical histories of patients with life-threatening burns, caused by household chemicals. Results In order to remove the damaging agent, multiple incisions were performed as early as possible after admission. After stabilization, necrotized tissue was removed gradually to the superficial fascia. Single-stage autografting was considered unreasonable due to the lack of objective factors of the lesion depth. Hydrocolloid dressings were used for temporal closure of wounds. As tissues became clean we covered granulating wound by split-skin grafts. Conclusion Early fascial excision and delayed autoplasty is the priority method of surgical treatment of patients with life-threatening burns caused by household chemicals. |
| first_indexed | 2024-03-12T18:14:39Z |
| format | Article |
| id | doaj.art-bf90a503351a4a13ad49ae7e2a8de1bc |
| institution | Directory Open Access Journal |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| last_indexed | 2024-03-12T18:14:39Z |
| publishDate | 2018-04-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj.art-bf90a503351a4a13ad49ae7e2a8de1bc2023-08-02T09:12:21ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172018-04-0171576110.23934/2223-9022-2018-7-1-57-61418LIFE-THREATENING BURNS CAUSED BY HOUSEHOLD CHEMICALSK. M. Krylov0D. O. Vagner1E. V. Zinoviev2K. E. Michunsky3V. N. Yurina4Saint-Petersburg Research Institute of Emergency Medicine n.a. I.I. Dzhanelidze, Saint-PetersburgSaint-Petersburg Research Institute of Emergency Medicine n.a. I.I. Dzhanelidze, Saint-PetersburgSaint-Petersburg Research Institute of Emergency Medicine n.a. I.I. Dzhanelidze, Saint-PetersburgSaint-Petersburg Research Institute of Emergency Medicine n.a. I.I. Dzhanelidze, Saint-PetersburgSaint-Petersburg Research Institute of Emergency Medicine n.a. I.I. Dzhanelidze, Saint-PetersburgBackground Chemical burns are 2.5 % to 5.1% of all burn injuries. Burns caused with household chemicals occur even more rarely. Because of its relative rarity there is no common surgical tactics for such patients. This type of burn trauma still remains under discussion. Aim of study Optimization of surgical treatment tactics in patients with severe chemical burns caused by household chemicals. Material and methods Medical histories of patients with life-threatening burns, caused by household chemicals. Results In order to remove the damaging agent, multiple incisions were performed as early as possible after admission. After stabilization, necrotized tissue was removed gradually to the superficial fascia. Single-stage autografting was considered unreasonable due to the lack of objective factors of the lesion depth. Hydrocolloid dressings were used for temporal closure of wounds. As tissues became clean we covered granulating wound by split-skin grafts. Conclusion Early fascial excision and delayed autoplasty is the priority method of surgical treatment of patients with life-threatening burns caused by household chemicals.https://www.jnmp.ru/jour/article/view/438chemical burnssurgeryautoplasty |
| spellingShingle | K. M. Krylov D. O. Vagner E. V. Zinoviev K. E. Michunsky V. N. Yurina LIFE-THREATENING BURNS CAUSED BY HOUSEHOLD CHEMICALS Неотложная медицинская помощь chemical burns surgery autoplasty |
| title | LIFE-THREATENING BURNS CAUSED BY HOUSEHOLD CHEMICALS |
| title_full | LIFE-THREATENING BURNS CAUSED BY HOUSEHOLD CHEMICALS |
| title_fullStr | LIFE-THREATENING BURNS CAUSED BY HOUSEHOLD CHEMICALS |
| title_full_unstemmed | LIFE-THREATENING BURNS CAUSED BY HOUSEHOLD CHEMICALS |
| title_short | LIFE-THREATENING BURNS CAUSED BY HOUSEHOLD CHEMICALS |
| title_sort | life threatening burns caused by household chemicals |
| topic | chemical burns surgery autoplasty |
| url | https://www.jnmp.ru/jour/article/view/438 |
| work_keys_str_mv | AT kmkrylov lifethreateningburnscausedbyhouseholdchemicals AT dovagner lifethreateningburnscausedbyhouseholdchemicals AT evzinoviev lifethreateningburnscausedbyhouseholdchemicals AT kemichunsky lifethreateningburnscausedbyhouseholdchemicals AT vnyurina lifethreateningburnscausedbyhouseholdchemicals |