Puri V, Khare NA, Chandramouli MV, Shende N, Bharadwaj S, et al.
Journal of burn care & research : official publication of the American Burn Association. Date of publication 2016 Sep 1;volume 37(5):278-82.
1. J Burn Care Res. 2016 Sep-Oct;37(5):278-82. doi: 10.1097/BCR.0b013e31827e4ed6.
Comparative Analysis of Early Excision and Grafting vs Delayed Grafting in Burn
Patients in a Developing Country.
Puri V(1), Khare NA, Chandramouli MV, Shende N, Bharadwaj S.
Author information:
(1)From the *Department Of Plastic Surgery, Seth GS Medical College & KEM
Hospital, Mumbai, India; and the †Department of Community Medicine, Chirayu
Medical College, Bhopal, India.
The present study attempts to compare how the patients who undergo early excision
and grafting behave as compared with patients who are treated along usual
conservative lines of management in centers where the resources are less than
optimal. The data of 20 female patients were analyzed. Age of the patients ranged
between 20 and 30 years, percentage area burn ranged between 20 and 40%, and
percentage area resurfaced by skin grafting 5 to 10%. The patients were divided
into two groups of 10 patients each. Group I included those patients who
underwent early excision and grafting within 5 days of burn injury. Group II
included those patients who were treated conservatively and the residual raw area
was grafted 3 weeks or more after sustaining the burn. The two groups were
compared for the amount of blood loss, transfusion requirement, graft take, and
the total hospital stay. Statistical significance was tested by the application
of Mann-Whitney U test. The mean percentage area burn was 29.1 ± 5.6% in group I
and 24.7 ± 4.9% in group II. Mean percentage area resurfaced by skin grafting in
group I was 9.4 ± 2.3% and 8.1 ± 1.6% in group II. Graft take in group I was
90 ± 7.8%, whereas that in group II was 95 ± 6.7%. Mean blood loss in group I and
group II was 346 ± 17.6 ml and 241 ± 14.7 ml respectively. (P = .001). Mean
transfusion requirement in the perioperative period was 1.6 pints in group I and
1.1 pints in group II. The mean hospital stay in the patients who underwent early
excision and grafting was 15.1 ± 4.1 days, whereas that in the patients who
underwent delayed grafting was 36.2 ± 6.3 days (P = .001). Early excision and
grafting decreases the hospital stay of burn patients. The present study suggests
that it has a definite applicability even in places where the resources might be
less than optimal.
DOI: 10.1097/BCR.0b013e31827e4ed6
PMID: 23816999 [Indexed for MEDLINE]
