Herringmcleod5984

BACKGROUND Split thickness skin graft is a widely accepted technique to cover large defects. Shearing, hematoma and infection have often been attributed as major causes for graft loss. Autologous platelet rich plasma (PRP) has been used in various treatment modalities in the field of plastic surgery for its healing, adhesive and hemostatic properties owing to the growth factors that are released. This Study primarily throws light on the usage of PRP over difficult Burn wound beds to augment graft uptake and attenuate complications. METHODS The patients were divided into two groups of those who were subjected to use of autologous PRP as a preparative burn surfacing and the control group who underwent standard method of treatment. RESULTS Patients in PRP group significantly showed a higher graft adherence rate as compared to those with other method. It also reduced pain, and hematoma formation. CONCLUSION Application of PRP is a safe, cost effective, easy method to increase graft adherence rate in patients with burns where graft loss is noticed and there is shortage of donor sites.BACKGROUND Gastrocnemius muscle flap has been in vogue for approximately five decades. The current study was carried out to document the indications and outcome of proximally based medial gastrocnemius muscle flap in our patients. METHODS This case series was conducted in Department of Plastic Surgery and Orthopedics, National Institute of Rehabilitation Medicine (NIRM), Islamabad, Pakistan during 3 years. It included all patients who were managed with proximally based medial gastrocnemius muscle flap for various indications. RESULTS There were 31 patients with 24 (77.41%) males and 7 (22.58%) females. The age ranged between 16- and 53 years (mean 27.47±10.33 years). The indications for gastrocnemius muscle flap included traumatic defects with exposed tibia/ knee joint (n=20; 64.51%), prophylactic coverage of megaprosthesis employed for knee joint reconstruction (n=9; 29%), excisional defect of cutaneous squamous cell carcinoma with exposed tibia (n=1; 3.22%), and salvage of infected total knee arthroplasty (n=1; 3.22%). The hospital stay was 7-16 days (mean 12.41±2.87 days). The flap survival in our series was 100%. There was partial skin graft in two patients (n=2; 6.45%). CONCLUSION Gastrocnemius muscle flap was a quick, easy and reliable coverage tool for small to moderate sized defects around the knee, the proximal third of the tibia as well as coverage of prosthesesis employed for knee arthroplasty. Inclusion of 2-4 cm tendon enhances the flap dimension without causing any additional morbidity.BACKGROUND Electrical burns, although less prevalent, are devastating injuries and are associated with high morbidity and mortality. This study assessed the socio-demographic characteristics, complications, surgical interventions and outcomes among electrical burn victims. METHODS From 2013 to 2018, patients who suffered from electric burns and were admitted to Burns Unit, Department of Plastic Surgery, Kasturba Hospital, Manipal, India were enrolled. The demographic data, as well as details regarding mode of injury, percentage of burns, specific areas injuries, complications, surgical treatment options utilized and treatment outcomes were recorded using a semi-structured questionnaire. The patients were followed up till 3 months post discharge. RESULTS The majority of electrical burn victims were men (99.0%) and were in the age group of 18-40 years (70.4%). Unskilled labourers (56.8%) were most commonly affected followed by employed linemen or electricians (29.6%) and farmers (11.1%). Highest proportion (81.0%) had involvement of less than 20% of their total body surface area. Occurrence of infections (41.9%) was the most common complication. Myoglobinuria (19.7%), amputations (18.5%), compartment syndrome (14.8%), and peripheral nerve injuries (13.5%) were recorded. Totally, 18.5% were reported with certain complications, 9.9% of them required neurosurgical interventions and 3.7% required active psychiatric interventions. CONCLUSION Most of the young men in their economically productive age group were affected with electrical burn injuries. Ensuring the work safety measures and education about the dangers and hazards associated with electrical equipment and infrastructure as well as their proper handling are vital.BACKGROUND Various studies have reported different conclusions over the safety and benefits of early tracheostomy in burns. Our study aimed to assess the role of prophylactic tracheostomy in treatment and improvement of outcomes in inhalational burns in India. METHODS In a retrospective descriptive analysis of burns admitted over 1 year in Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Tertiary Burns Center in India, patients with thermal burns of TBSA less than 60% and those with indirect evidence of airway burns were enrolled and divided into two groups who underwent prophylactic tracheostomy vs. patients for whom prophylactic tracheostomy was not done. Mortality was the final point and primary variable measurement. RESULTS Totally, 10 patients with inhalational burns were admitted. Out of the 4 patients for whom prophylactic tracheostomy was undertaken, three patients survived, while one died. Out of the 6 patients for which prophylactic tracheostomy were not performed, 4 patients died; while 2 survived. The average percentage of burns TBSA in the prophylactic tracheostomy group was 34%. Average age of patients in the prophylactic tracheostomy group was 31.3 years. click here The average percentage burns TBSA in the group, where prophylactic tracheostomy was not carried out was 42%. Average age of patients in the prophylactic tracheostomy group was 36.2 years. CONCLUSION Our study is a pilot study to investigate the possibility and a way to improve outcomes in patients with inhalational injuries. Larger trials may be needed to facilitate or disprove the same.BACKGROUND Immediate Breast Reconstruction (IBR) is an additional surgical procedure that may increase postoperative complications (such as flap necrosis, infection, and hematoma) and delay the initial time for adjuvant chemotherapy in some patients. In this systematic and meta-analysis, we provide overall survival rates of patients who underwent mastectomy with and without IBR. METHODS The following databases were systematically searched between 2015 to 2019 without language restrictions in PUBMED, EMBASE, Web of Science, and Cochrane Library. In addition, the relevant references in the list of all included articles were also checked. The search term included "breast cancer" and "breast reconstruction" "mastectomy". RESULTS The sample size was a range from 339 to 5644 patients. The median age was 46.3 years. The results showed no significant differences in terms of overall survival between two groups. CONCLUSION The results showed that IBR after mastectomy did not affect the overall survival.