Upper & Lower Limbs Early Deep Burn Wound Excisions and Grafting Aided by Methylene Blue
Kerbala Journal of Medicine,
Volume 9, Issue 2, Pages 2417-2424
Abstractbackground: Deep burn involve upper and lower limbs may lead to functional problems, interfere with patients life style, increase burn morbidity and mortality which also correlate to burn wound infection and septicemia, early burn excision and autografting minimize this risk, excision of burn wound need precise demarcation of non viable eschar tissue from underlying viable tissue. Methylene Blue using aid in staining of non viable burn eschar by blue color and not staining underling viable tissue this will provide precise demarcation of nonviable tissue and facilitating wound excision and grafting thus will increase graft take and dramatically decrease risk of burn wound infection and improve patients survival
Objectives: To evaluate early surgical excision of upper & lower limbs deep burn (deep second degree & third degree) & autograft aided by Methylene Blue with short term follow up.
Patients and Methods: In this study 28 patients included, 16 males and 12 females, age range from 10 years to 40 years, were treated by early surgical excision of burn wound aided by Methylene Blue staining between April 2014 to October 2015 in Azadi teaching hospital in Kirkuk city.
Results: All patients have single stage of early surgical excision of burn wound aided by Methylene Blue staining and autograft ; family and patients satisfaction were taken in consideration and almost all showed satisfaction, assessment of the results by the surgeon was also accepted in all of the cases, 71.4% of the graft patients have more than 80% graft take .Only 4 patients (14.2%) in this study had minimal postoperative complications.
Conclusion: early surgical excision of deep upper & lower limbs burn wound aided by Methylene Blue staining and autograft is a reasonable treatment option for deep burn of upper and lower limbs, this type of deep burn lead to functional and aesthetic problem and also interfere with patients life style, using this technique improve graft take and decrease hospitalization and risk of morbidity and mortality of burn trauma.
Keywords: Methylene Blue, eschar and autograft.
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