Document Detail


Enzymatic necrolysis of acute deep burns--report of preliminary results with 22 patients.
MedLine Citation:
PMID:  19408486     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Enzymatic debridement by the use of a proteolytic enzyme complex derived, isolated and purified from pineapple stems proves to be an innovative, rapid, effective, selective and safe method of postburn necrotic skin removal. The major advantages of the procedure include minimal invasivity, rapidity, effectiveness, possibility to perform the debridement at the bedside, minimal or no loss of blood and minimal interference with natural wound healing processes. Our preliminary experience with this treatment method showed that in most of the cases treated the debridement was excellent, safe and rapid. The average duration of the debridement was less than 4 hours. The debridement was accompanied by minor to moderate pain which could be treated by analgetic medications. No serious adverse events or reactions have been observed during the study. The time for healing was comparable with the standard of care methods. The second randomized multicenter study is still in progress and has not yet been finished.
Authors:
J Koller; P Bukovcan; M Orság; R Kvalténi; I Gräffinger
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta chirurgiae plasticae     Volume:  50     ISSN:  0001-5423     ISO Abbreviation:  Acta Chir Plast     Publication Date:  2008  
Date Detail:
Created Date:  2009-05-04     Completed Date:  2009-05-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370301     Medline TA:  Acta Chir Plast     Country:  Czech Republic    
Other Details:
Languages:  eng     Pagination:  109-14     Citation Subset:  IM    
Affiliation:
Department of Burns and Reconstructive Surgery, University Hospital Bratislava, Ruzinov Hospital, Bratislava, Slovak Republic. koller@ruzinov.fnspba.sk
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Bandages
Bromelains / therapeutic use*
Burns / therapy*
Debridement / methods*
Humans
Necrosis
Prospective Studies
Skin / pathology
Chemical
Reg. No./Substance:
9001-00-7/Bromelains

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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