Successful treatment of a case of electrical burn with visceral injury and full-thickness loss of the abdominal wall

Honda, Takashi; Yamamoto, Yusuke; Mizuno, Motoko; Mitsusada, Makoto; Nakazawa, Hayakazu; Sasaki, Kenji; Nozaki, Motohiro

doi:10.1016/s0305-4179(00)00033-4

Cited by 19 publications

(10 citation statements)

References 9 publications

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“…A smaller body part conducting the electricity will generate more intense heat with less dissipation. Therefore, fingers, hands, forearms, feet, and lower legs are often totally destroyed, whereas the trunk usually dissipates enough current to prevent extensive damage to viscera (unless the entrance or exit wound is on the abdomen or chest) [6][7][8].…”

Section: Electrical Burnsmentioning

confidence: 99%

Pathophysiology of burns

Keck

Herndon

Kamolz

et al. 2009

Wien Med Wochenschr

111

112

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Burn injury represents a significant problem worldwide. Advances in therapy strategies, based on better understanding of the pathophysiologic responses after burn injury have improved the clinical outcome of patients with burn injuries over the past years. This article describes the present understanding of the pathophysiology of a burn injury including both the local and systemic responses, focusing on the many facets of organ and systemic effects directly resulting from hypovolemia and circulating mediators following burn trauma.

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Section: Electrical Burnsmentioning

confidence: 99%

Pathophysiology of burns

Keck

Herndon

Kamolz

et al. 2009

Wien Med Wochenschr

111

112

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“…After 5 months of the conservative treatment, the fistula closed, and the abdominal wall defect was reconstructed with a free latissimus dorsi musculocutaneous flap. One month later, the patient was discharged following an uneventful recovery 5 . Intestinal fistula is an uncommon complication of electric burns.…”

Section: Discussionmentioning

confidence: 99%

Jejunal Perforation Following Electric Burns- A Case Report

Hajong¹

2013

IOSR-JDMS

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“…[1,2] The prognosis of visceral organ injury is related to early diagnosis and proper management, despite early recognition of the visceral damage is quite difficult. [3] Exploratory laparotomy can find ischemic or necrotic tissue, perforate hollow organ, and other damage, but sometimes no obvious lesion can be found after laparotomy, [4] the indication of exploratory laparotomy is still deserved to be investigated.…”

Section: Introductionmentioning

confidence: 99%

“…[18] But the tensile strength of abdominal wall may be lack even if flap transplanted, a flap with strong, vascularized fascia and/or innervated muscle can enhance the tensile strength of abdominal wall to avoid abdominal hernia formation . [3,10,15,19–20] Therefore, the reconstruction of large defects on the abdominal wall after electrical injury can be challenging. The purpose of this article is to retrospectively analyze the characteristics of abdominal electrical injury with visceral damage and to evaluate the outcome of early flap repair of large defects on the abdominal wall after electrical burns.…”

Section: Introductionmentioning

confidence: 99%

Early laparotomy and timely reconstruction for patients with abdominal electrical injury

Zhang

Liu²,

Ren³

et al. 2017

Medicine

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Introduction:High-tension electricity can cause devastating injuries that may result in abdominal wall loss, visceral damage, and sometimes major threat to life. The visceral organ may be exposed after debridement and require flap cover, but the tensile strength of abdominal wall may be lack even if flap transplanted.Methods:From April 2007 through May 2015, 5 patients with severe abdominal electrical injury were treated at our hospital. Exploratory laparotomy was performed based on their clinical manifestations and debridement findings of abdominal wall at early stage, and decision regarding technique for reconstruction of abdominal wall was based on an assessment of the location and extent of the defect. Medical records were reviewed for these data.Results:Clinical evaluation and debridement findings of the abdomen revealed 4 patients with suspicious visceral damage. Laparotomy was performed in 4 cases, and revealed obvious lesion in 3 cases, including segmental necrosis of small intestine, partial necrosis of diaphragm, left liver and gastric wall, and greater omentum. Five patients underwent abdominal wall reconstruction using island retrograde latissimus dorsi myocutaneous flap or free/island composite anterolateral thigh myocutaneous flap. All flaps survived, abdominal bulging occurred in 3 cases after follow-up of 12 to 36 months.Conclusions:The clinical manifestations and wound features of abdomen collectively suggest a possible requirement of laparotomy for severe abdominal electrical burns. Retrograde latissimus dorsi myocutaneous flap or composite anterolateral thigh myocutaneous flap is an effective option for reconstruction of abdominal wall loss, the long-term complication of abdominal bulging, however, remains a significant clinical challenge.

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Successful treatment of a case of electrical burn with visceral injury and full-thickness loss of the abdominal wall

Cited by 19 publications

References 9 publications

Pathophysiology of burns

Pathophysiology of burns

Jejunal Perforation Following Electric Burns- A Case Report

Early laparotomy and timely reconstruction for patients with abdominal electrical injury

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