Electrical burns of the abdomen

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
Rakesh Kumar Srivastava, Ritesh Kumar

Abstract

A 35-year-old male farmer came in contact with 11,000 volts high tension electric wire and sustained full thickness burn wounds over scapula, upper limb and anterior abdominal wall along with perforation of the intestine. Patient was initially managed conservatively in general surgery ward and was referred to us after 3 days with necrosis of the burned skin and muscles over the shoulder and abdomen. Patient was initially managed conservatively and then thorough debridement of the necrotic skin over the left shoulder and upper arm was done and the area was split skin grafted. Patient developed enterocutaneous fistula, which healed over a period of 8 weeks. The granulating wound over the abdomen was also skin grafted and patient was discharged after 18 days. About 4 months, after the discharge patient presented with ventral hernia. Repair of ventral hernia by synthetic mesh application and reconstruction of the abdominal wall with a free tensor fascia lata flap was done over the mesh, but the flap failed. Then after debridement two random pattern transposition skin flaps, one from the right upper and another from the left lower abdomen were transposed over the abdominal wound and donor area was skin grafted. Patient was discharge...Continue Reading

References

Feb 1, 1985·Burns, Including Thermal Injury·J Y YangM S Noordhoff
May 1, 1981·Annals of Surgery·H H StoneM J Jurkiewicz
Dec 1, 1994·Burns : Journal of the International Society for Burn Injuries·P Kumar, R Varma
Dec 13, 2006·Burns : Journal of the International Society for Burn Injuries·Sreevalli DegaD Mohan Krishna

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Citations

Jan 26, 2016·International Journal of Critical Illness and Injury Science·S Satish KumarAmit Agrawal
Dec 23, 2017·Inflammatory Bowel Diseases·Uri NetzSusan Galandiuk
Aug 1, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Himsikhar KhataniarLakshmeshwar Nagaraj Mohan

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