Open AccessBURNS IN CHILDREN;
Author(s) -
Salman Mansoor,
Mohamed Mahmoud El-Harrazin
Publication year - 2012
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2012.19.05.2407
Subject(s) - medicine , surgery , skin grafting , grafting , muscle contracture , severe burn , chemistry , organic chemistry , polymer
Burns are among the most devastating of all home injuries with formidable sequelae ranging from considerable physicaldisability to emotional and mental trauma. Patients of burn require prolonged hospitalization resulting into considerable financial burden onpatient as well as the state. Treatment of burns can be made cost effective by early excision and grafting of the burned areas. A randomizedcontrolled study was conducted to evaluate the efficacy of early versus delayed excision and skin grafting in pediatric burns. Out of 80 burnedchildren, 30 underwent early excision and grafting whereas 50 were treated with delayed excision and grafting. Mean percent graft take was96.67 in early and 88.40 in delayed group. Over all post operative complications like minor graft rejection was found in 26% cases of early and48% of delayed group whereas major graft rejection was found in 14% of delayed group only. Post operative contractures developed in 8% ofdelayed group. Mean hospital stay was 13.66 and 37.46 days for early and delayed excision and grafting respectively. Early excision andgrafting in pediatric burns is a superior and cost effective to delayed excision and grafting in terms of post operative complications, cosmesisand hospital stay.