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Custom-made standardised over-dressings for torso burns; economical and efficient.
MedLine Citation:
PMID:  23450101     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Torso burns following debridement and skin grafting usually require fairly complex dressings. The dressing consists of an interface layer, an absorbent layer and a retaining layer. Although numerous inner dressings are now available from multiple manufacturers, Gamgee dressing (pad of cotton and gauze) is often used as an outer absorbent dressing. Dressing the torso is usually a challenge, and the purpose of this paper is to present a custom-made over-dressing for torso burns, which reflects the current practice at our centre.
MATERIALS AND METHODS: A U-shape cut is made at one end of the Gamgee to design the shoulder straps. This custom-made dressing is held in place by a custom-designed netted vest.
RESULTS: This custom-made over-dressing for the torso was found to be comfortable for patients, easily made from locally available materials, easy to apply, absorbent and not restrictive of movement. The shoulder straps prevent sliding of the Gamgee, and in a nonrestrictive way. The netted vest provides the required compression to keep the Gamgee in firm contact with the inner layers of the dressing without compromising respiration.
CONCLUSION: In this report, we present our practice of a custom-made dressing that is very efficient and economical. We hope that this information will be of practical use to other centres managing burns.
Authors:
Mobinulla Syed; Azzam Farroha; Bruce Philp
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India     Volume:  45     ISSN:  0970-0358     ISO Abbreviation:  Indian J Plast Surg     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2013-03-01     Completed Date:  2013-04-12     Revised Date:  2013-04-16    
Medline Journal Info:
Nlm Unique ID:  8405356     Medline TA:  Indian J Plast Surg     Country:  India    
Other Details:
Languages:  eng     Pagination:  526-9     Citation Subset:  -    
Affiliation:
St Andrews Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK.
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