Volume 11, Issue 1 (3-2022)                   WJPS 2022, 11(1): 81-85 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Zanganeh M, Keshavarzi A, Dahmardehei M, Ghadimi T, Abdalkhani A, Dehghani A. Skin Grafting Compared with Conservative Treatment in Patients with Deep Second-Degree Burn Wounds of the Trunk and Buttocks. WJPS. 2022; 11 (1) :81-85
URL: http://wjps.ir/article-1-891-en.html
2. Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract:   (990 Views)
BACKGROUND
Burns are among the most common causes of injury and result in long-term morbidity, psychological complications, and reduced quality of life. We aimed to evaluate and compare the results of skin grafting versus nonsurgical treatment in patients with deep second-degree burn wounds of the back and posterior trunk.
METHODS
This is a descriptive-analytical cross-sectional study of patients with trunk and buttock burns admitted to Burn Hospital in Shiraz, Iran from 2017 to 2019. The skin surface with burns and the final repaired tissue was measured. The Vancouver Scar Score (VSS) and pigmentation, vascularity, thickness, and pliability were assessed. VSS, pigmentation, vascularity, thickness and pliability were considered as outcomes.
RESULTS
Seventy-five patients met the criteria for participation; thirty-two patients had skin grafts. The mean age was 27.79±20.03 yr and 53 patients (70.7%) were male. Scars were compared based on pigmentation, vascularity, thickness, and pliability, which was also statistically significant (P<0.001). The mean of VSS was higher in patients with skin graft than those without graft (P<0.001).
CONCLUSION
The mean VSS was significantly higher in patients with grade 2 deep burns who received skin grafting than in patients without skin grafting. Due to the lack of donor sites and the need to prioritize skin grafts in burn patients with high total body surface area, it is better to perform skin grafts on the posterior trunk and buttocks in areas with deep grade 2 burns as a last priority and treat this wound with conservative therapy.
Full-Text [PDF 233 kb]   (562 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2022/02/3 | Accepted: 2021/10/26 | Published: 2022/03/4

References
1. 1 Greenhalgh DG. Management of burns. N Engl J Med 2019; 380(24): 2349-59. doi: 10.1056/NEJMra1807442. 2 Smolle C, Cambiaso-Daniel J, Forbes AA, Wurzer P, Hundeshagen G, Branski LK, et al. Recent trends in burn epidemiology worldwide: a systematic review. Burns 2017; 43(2): 249-57. doi: 10.1016/j.burns.2016.08.013. 3 Shrestha S, Gurung P. Awareness on prevention and first aid management of burn injury among adolescents. JCMS-Nepal 2018; 14(4):200-5. doi:10.3126/jcmsn.v14i4.21330. 4 Abouie A, Salamati P, Hafezi-Nejad N, Rahimi-Movaghar A, Saadat S, Amin-Esmaeili M, et al. Incidence and cost of non-fatal burns in Iran: a nationwide population-based study. Int J Inj Contr Saf Promot 2018; 25(1):23-30. doi: 10.1080/17457300.2017.1310739. 5 Percival NJ. Classification of wounds and their management. Surgery (Oxford) 2002; 20 (5): 114 – 117. 6 Tiwari V. Burn wound: how it differs from other wounds? Indian J Plast Surg 2012; 45(02):364-73. doi: 10.4103/0970-0358.101319. 7 Gao G, Li W, Chen X, Liu S, Yan D, Yao X, et al. Comparing the Curative Efficacy of Different Skin Grafting Methods for Third-Degree Burn Wounds. Med Sci Monit 2017; 1:23: 2668-2673. doi: 10.12659/msm.901765. 8 Valencia IC, Falabella AF, Eaglstein WH. Skin grafting. Dermatol Clin 2000; 18(3):521-32. doi: 10.1016/s0733-8635(05)70199-6. 9 Kirsner RS, Falanga V. Techniques of split‐thickness skin grafting for lower extremity ulcerations. J Dermatol Surg Oncol 1993; 19(8):779-83. doi: 10.1111/j.1524-4725.1993.tb00424.x. 10 Serra R, Butrico L, Ruggiero M, Rossi A, Buffone G, Fugetto F, et al. Epidemiology, diagnosis and treatment of chronic leg ulcers: a systematic review. Acta Phlebol 2015; 16(1): 9-18. 11 Falconi M, Teti G, Zago M, Galanzi A, Breschi L, Pelotti S, et al. Influence of a commercial tattoo ink on protein production in human fibroblasts. Arch Dermatol Res 2009; 301(7):539-47. doi: 10.1007/s00403-009-0953-7. 12 Ramundo J, Gray M. Collagenase for enzymatic debridement: a systematic review. J Wound Ostomy Continence Nurs 2009; 36 (6 Suppl): 4-11. doi: 10.1097/WON.0b013e3181bfdf83. 13 Avsar U, Halici Z, Akpinar E, Yayla M, Avsar U, Harun U, et al. The effects of argan oil in second-degree burn wound healing in rats. Ostomy Wound Manage 2016; 62(3):26-34. PMID: 26978857. 14 Li J, Zhang Y-P, Zarei M, Zhu L, Sierra JO, Mertz PM, et al. A topical aqueous oxygen emulsion stimulates granulation tissue formation in a porcine second-degree burn wound. Burns 2015; 41(5):1049-57. doi: 10.1016/j.burns.2014.11.016. 15 Rastegar F, Azarpira N, Amiri M, Azarpira A. The effect of egg yolk oil in the healing of third degree burn wound in rats. Iran Red Crescent Med J 2011; 13(10):739 - 43. PMID: 22737413. 16 De Moraes JM, de Oliveira Mendonça DE, Moura VBL, Oliveira MAP, Afonso CL, Vinaud MC, et al. Anti-inflammatory effect of low-intensity laser on the healing of third-degree burn wounds in rats. Lasers Med Sci 2013; 28(4):1169-76. doi: 10.1007/s10103-012-1213-1. 17 Lari AR, Gang RK. Expansion technique for skin grafts (Meek technique) in the treatment of severely burned patients. Burns 2001; 27(1):61-6. doi: 10.1016/s0305-4179(00)00066- . 18 Lumenta DB, Kamolz L-P, Frey M. Adult burn patients with more than 60% TBSA involved–Meek and other techniques to overcome restricted skin harvest availability–the Viennese concept. J Burn Care Res 2009; 30(2): 231-42. doi: 10.1097/BCR.0b013e318198a2d6. 19 Menon S, Li Z, Harvey JG, Holland AJ. The use of the meek technique in conjunction with cultured epithelial autograft in the management of major paediatric burns. Burns 2013; 39(4): 674-9. doi: 10.1016/j.burns.2012.09.009. 20 Zacharevskij E, Baranauskas G, Varkalys K, Rimdeika R, Kubilius D. Comparison of non-surgical methods for the treatment of deep partial thickness skin burns of the hand. Burns 2018; 44(2):445-52. doi: 10.1016/j.burns.2017.08.002. 21 Li P, Li-Tsang CWP, Deng X, Wang X, Wang H, Zhang Y, et al. The recovery of post-burn hypertrophic scar in a monitored pressure therapy intervention programme and the timing of intervention. Burns 2018; 44(6):1451-67. doi: 10.1016/j.burns.2018.01.008. [DOI:10.1383/surg.20.5.114.14626.]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2022 CC BY-NC 4.0 | World Journal of Plastic Surgery

Designed & Developed by : Yektaweb