Mene A, Biswas G, Parashar A, Bhattacharya A. Early debridement and delayed primary vascularized cover in forearm electrical burns: A prospective study. World J Crit Care Med 2016; 5(4): 228-234 [PMID: 27896147 DOI: 10.5492/wjccm.v5.i4.228]
Corresponding Author of This Article
Dr. Atul Parashar, Associate Professor, Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India. atulparashar@hotmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Prospective Study
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Mene A, Biswas G, Parashar A, Bhattacharya A. Early debridement and delayed primary vascularized cover in forearm electrical burns: A prospective study. World J Crit Care Med 2016; 5(4): 228-234 [PMID: 27896147 DOI: 10.5492/wjccm.v5.i4.228]
Aniruddh Mene, Gautam Biswas, Atul Parashar, Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
Anish Bhattacharya, Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
Author contributions: Mene A contributed to the collection of data, organization of manuscript; Biswas G contributed to the conception and design of study, data analysis; Parashar A contributed to the conception and design of study, data analysis, manuscript preparation and review; Bhattacharya A contributed to data analysis and manuscript review.
Institutional review board statement: The format of study was reviewed and approved by the Ethics Committee/Institutional Review Board duly constituted for clinical study at Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.
Informed consent statement: All study participants, or their legal guardian were explained in their own language about the inclusion in the study. Informed written consent was duly taken prior to enrollment in the study.
Conflict-of-interest statement: None of the authors have any conflicts of interests to report.
Data sharing statement: No additional data are available.
Correspondence to: Dr. Atul Parashar, Associate Professor, Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India. atulparashar@hotmail.com
Telephone: +91-172-2756792
Received: April 20, 2016 Peer-review started: April 22, 2016 First decision: June 6, 2016 Revised: July 19, 2016 Accepted: August 6, 2016 Article in press: August 8, 2016 Published online: November 4, 2016 Processing time: 196 Days and 20.7 Hours
Core Tip
Core tip: High-voltage electrical injuries lead to be a significant morbidity associated with severe socioeconomic implications. There is conflicting evidence in the literature regarding progressive tissue necrosis in this devastating injury. We looked into the management options of early debridement of the wound, followed by vascularized cover to bring in fresh blood supply to remaining tissue, which can potentially prevent further progression of this pathology. We found that the phenomenon of ongoing necrosis was not halted in our study and all our early flaps failed to ingress the blood flow to the so-called ischemic zone post trauma. Electrical injuries were progressive in nature and required multiple radical debridement until the wound is ready for definitive cover.
