A review of 5 years experience in management of electrical injuries

Segu, Smitha S; Jaganathan, Vijay; Biradar, Amaresh; Mudukappa, Shankarappa

doi:10.4103/0971-653x.147018

Cited by 6 publications

(5 citation statements)

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“…Period of hospital stay in this study showed that majority had 1-2 months of treatment in the hospital. S. Segu, V Jaganathan, A. Biradar et al 8 observed mean range of hospital stay as 7-82 days. Complications are mostly wound infections, then followed by amputations in our study.…”

Section: Cause Of Electrical Injury Presentmentioning

confidence: 97%

Clinical Study of Electrical Burns Among All Burns Cases- 3 Years’ Experience

Prasad¹,

Rao²,

Lakshmi³

et al. 2017

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BACKGROUND With the advances in technology, electrical injuries are becoming more common and are the leading cause of work-related traumatic death. One third of all electrical traumas and most high-voltage injuries are job related and more than 50% of these injuries result from power line contact. The management of the major burn injury represents a significant challenge to every member of the burns team. Most of electrical burns present with gangrene of toes and limbs with eschar over body parts. Their presentation is mostly due to contact with high-voltage electricity at their work places. MATERIALS AND METHODS A retrospective study was made to study the clinico-social profile of patients suffering electric burns admitted into Department of General Surgery. RESULTS 92 cases were evaluated and studied. Majority of patients developed gangrene of limbs and toes. Amputations and skin grafting was done. Most patients who suffered electric burns were males of age group 21 to 40 years. All cases are accidental and mostly occurred at work places. Most electric burns are high-voltage based and caused deep burns. Major complications like acute renal failure and septicaemia were encountered. Most of them suffered 16 to 30% burns. Most commonly isolated organism from wounds is pseudomonas. Most of them suffered a hospital stay of 1 to 2 months.

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Section: Cause Of Electrical Injury Presentmentioning

confidence: 97%

Clinical Study of Electrical Burns Among All Burns Cases- 3 Years’ Experience

Prasad¹,

Rao²,

Lakshmi³

et al. 2017

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“…In this study Shoulder defects were reconstructed with Trapezius musculocutaneous flaps in 5. In the study done by Segu SS et al, (11) Out of 110 flaps to cover upper limb defects 60 (54.55%) flaps were Groin flaps, 28 (25.45%) flaps were random Abdominal flaps, 15(13.64%) flaps were Paraumbilical flaps, 4 (3.64%) were Transposition flaps, 2 (1.82%) flaps pedicled Latissimus dorsi flaps and one (0.91%) fillet flap. In the study done by Sanjay KG et al, (12) Out of 40 flaps to cover upper limb defects 25% ( In the study done by Shen YM et al 98 flaps were used to reconstruct the wounds of electrical burns over wrist.…”

Section: Flaps On Upper Limb Defectsmentioning

confidence: 99%

A Prospective Study of Various Flaps in Compound Electrical Burn Defects in a Tertiary Care Centre

Murali¹,

Kavitha²

2019

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BACKGROUND Electrical burns are uncommon. They result in high morbidity and mortality due to severe tissue damage. We wanted to analyse epidemiological variables of electrical injuries, identify preventable measures, study the various post electrical burn compound defects/wounds and the addressal of them, study the various flaps used for coverage of various post electrical burns defects and to analyse the outcome of flap cover of compound electrical burns defects. METHODS This is a prospective observational study of various flaps for compound defects in patients with electrical burns conducted in a tertiary care centre. A total of sixty-five flaps was performed for reconstruction of various defects in forty-eight patients of electrical burns in Burns Unit,

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“…However further studies are required regarding role of flap repair and microsurgery to in electric burns [5][6][7] . Complications during the course of treatment following electric burn were gangrene, psychiatric illness, acute kidney injury, secondary hemorrhage and rhabdomyolysis [8][9][10] . In our study, Early wound debridement and skin cover has helped in reduction in the rate of amputations and faster wound healing.…”

Section: Amputationsmentioning

confidence: 99%

“…Electrical burn injuries are a challenge to the reconstructive surgeons. Providing a stable skin cover and functioning limb is a great challenge to the burn surgeon [8,9] . Electrical burns are the most devastating of all thermal injuries, usually involving skin and deeper tissues.…”

Section: Introductionmentioning

confidence: 99%

To evaluate how early operative intervention will increase the chances of limb survival in electrical burns-At a tertiary Burn care centre

Duggirala¹,

Sarabahi²,

Tiwari³

et al. 2019

Int. J. Surg. Sci.

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Background: Electrical burns incidence is increasing due to increased industrialization and increased use of electricity and electric domestic appliances. High morbidity and mortality associated with increasing incidence of electric injury may consume alarming is high amount of resources and healthcare budget. Objective: To evaluate how early operative intervention will increase the chances of limb survival in electrical burns-at Safdarjung hospital burn unit over period of one year from January 2011 to December 2011 was reviewed and data about personal details, cause of burn, percentage of burn, treatment given, complication and final outcome were analyzed using descriptive statistics. Results: Fasciotomies were done in 156 patients in 180 limbs. 1 patient had undergone laparotomy for ligation of RT external iliac artery. 58 out of the total 266 electric contact injured patients, represents that nearly 22% had to undergo amputations. Early flap cover after conservative debarment was done in 25 cases patients. Out of these 20 flap covers were done for upper limb defects. Minimal flap necrosis was noticed in 7 patients but the wounds healed without any further surgical intervention. In the 25 flaps done, 19 were distant flaps and 6 were local flaps. CT and MRI angiography was done in 24 patients during our study period. Out of these except for 2 CT angiography for lower limbs, all were for upper limbs. Out of 438 electric injury patients in our study, there was a mortality of 58 patients. 5 were brought dead and 53 patients expired while undergoing treatment in the hospital. This represents nearly 13% mortality rate from electrical related injuries. Conclusion: Electric burn causes significant morbidity and mortality and can be prevented easily. It was emphasized that most of the electrical injuries can be prevented by education, policy implementation and use of safety. Patients survived with morbidity due to amputation. Initial management of electrical burn is imperative to optimize function and minimize long-term scarring. However, further studies are required regarding flap repair and microsurgery to minimize in electrical.

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A review of 5 years experience in management of electrical injuries

Cited by 6 publications

References 0 publications

Clinical Study of Electrical Burns Among All Burns Cases- 3 Years’ Experience

Clinical Study of Electrical Burns Among All Burns Cases- 3 Years’ Experience

A Prospective Study of Various Flaps in Compound Electrical Burn Defects in a Tertiary Care Centre

To evaluate how early operative intervention will increase the chances of limb survival in electrical burns-At a tertiary Burn care centre

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