Organ transplant has, arguably, been the pinnacle of the advancement in medical science so far and vascularized composite allotransplantation has been the most recent addition to it. The scope of vascularized tissue allotransplantation has been widening with each passing day and more and more reports regarding the safety and efficacy of the procedure have been described.Due to the limited available literature on the management of the complications and implications of the hand transplant, the importance of each report on the procedure is paramount.A mid-arm allotransplant is a challenge in terms of expected motor recovery, and many controversies exist over the efficacy of the procedure altogether. Moreover, our case was complicated by a long ischemia time due to logistic reasons.We share our experience of a transhumeral upper limb allotransplantation, the complications associated with it along with the early postoperative results at 10 months follow up.
Aim: To affirm that autologous platelet rich plasma is a useful adjunct to early tangential excision and skin grafting to enhance wound epithelization rates and improve scar quality. Methods: The study was conducted in JIPMER Tertiary Burn Care Centerfrom November 2017 to February 2018. The study was purely descriptive in nature and no statistical analysis was performed.A total of 12 patients were included with burn wounds involving 10% to 25% total body surface area. Results: There was 100% epithelization noted at the end of 2 weeks for all the 12 participants. Skin graft take was faster with mean 85.4% take for all the 12 patients within 5 days. Conclusion: Since it is an autologous component, platelet rich plasma is extremely safe and free of antigenic components. It is relatively simple to prepare, less time taking, cost effective and highly efficacious in improving wound healing and improving the efficacy of the traditional techniques like tangential excision and skin grafting in burn patients.
Aim: Second degree superficial burns are painful and heal over a period of two to three weeks time. Multimodality treatment approach is effective in reducing time of healing, pain, rate of complications and overall cost of treatment. Aim of this study is to observe effect of low level laser therapy (LLLT) as an adjunct to conventional therapy for second degree superficial burn. Methods: This article presents a case series of twenty patients in which LLLT was used as an adjunct therapy for target burn areas. Results: Average time taken for complete healing of areas with second degree superficial burns was 11.75 (SD 2.86) days. One patient was healed on day 6; ten patients were healed on day 10, six patients on day 13, and three on day 17. Conclusion: We could not found significant evidence of positive effect of LLLT over rate of wound healing. However its effects are promising and further large multicentric trials are needed to establish its role and standardize its dose parameters.
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