Document Detail


The use of microscopy as a guide to primary excision of high-tension electrical burns.
MedLine Citation:
PMID:  660698     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
High-tension electrical burns sustained by 44 patients were of two types: one is caused by the intense heat of contact with an electric arc, and in the other flow of current against resistance of the deep tissues between arc wounds of entrance and exit produces deep thermal destruction. Microscopic studies in nine patients support the conclusions that such high-tension burns are thermal injuries, that the tissue destruction is not uniform, and that the slow evolution of unexcised wound reflects the admixture of areas of varying tissue viability which may become infected. An aggressive surgical approach designed to minimize tissue loss, avoid infection, and close wounds as early as possible was guided by intraoperative and later microscopic determinations of tissue viability. Despite a high amputation rate in our patients, it was avoided in the upper extremity in three patients, and maximal length of extremities was preserved in seven others. The use of microscopic analysis is recommended to determine the viability of tissues in thermal burns.
Authors:
W C Quinby; J F Burke; R L Trelstad; J Caulfield
Related Documents :
18669408 - Electrocardiographic abnormalities in patients with acute burn injuries.
17588098 - The pattern and outcome of burn injuries at a burn unit in saudi arabia: retrospective ...
11700398 - Glutamine administration reduces gram-negative bacteremia in severely burned patients: ...
8242448 - Using mixed venous oxygen saturation data to trend overall oxygenation in cardiothoraci...
23348528 - Percutaneous closure of the left atrial appendage using the amplatzer cardiac plug in p...
443598 - Diastolic flutter of aortic valves in aortic regurgitation: a report of seven cases.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  18     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1978 Jun 
Date Detail:
Created Date:  1978-08-28     Completed Date:  1978-08-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  423-31     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Arm Injuries / surgery
Burns, Electric / pathology,  surgery*
Child
Humans
Leg Injuries / surgery
Male

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


Previous Document:  Portal venous system injuries.
Next Document:  Disseminated intravascular multiple systems activation (DIMSA) following thermal injury.