PMID: 12543048Jan 25, 2003Paper

Experience of 14 years of emergency reconstruction of electrical injuries

Burns : Journal of the International Society for Burn Injuries
Zhi-Xiang ZhuTian-yi Liu

Abstract

Although there have been great advances in the treatment of electrical injuries in the last 20 years, the extremity loss ratio in electrical injuries remains at an unacceptably high level. The primary cause is due to the progressive tissue necrosis which results in the continuous extension of necrosis in the wound, leading to loss of the whole injured extremity. This study reports attempts to break the dangerous tissue necrosis circle and save the form and function of damaged extremities. After 14 years of systematic experimental and clinical studies a successful comprehensive urgent reconstruction alternative (CURA) for electrical injuries is proposed. CURA includes: debriding the wound as early as possible after injury; preserving the vital tissue structures as much as possible, such as nerves, vessels, joints, tendons, bone, even though they have undergone devitalization or local necrosis; repairing these vital tissues during the first surgery if functional reconstruction requires it; protecting the wound bed by covering with tissue flaps of rich blood supply; improving flap survival through moist dressings supported by continuous irrigation beneath the flaps for a 24-72h period after surgery with measures to control local i...Continue Reading

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Citations

Sep 21, 2013·Burns : Journal of the International Society for Burn Injuries·Jerry R John, Ramesh Kumar Sharma
Jan 11, 2007·Journal of Burn Care & Research : Official Publication of the American Burn Association·James C JengMarion H Jordan
Dec 25, 2007·Annals of Surgery·Jeff S IsenbergDavid D Roberts
Feb 13, 2014·Burns : Journal of the International Society for Burn Injuries·Shehab JabirPeter Dziewulski
Sep 25, 2012·Burns : Journal of the International Society for Burn Injuries·Yen-Chang HsiaoShiow-Shuh Chuang
Aug 20, 2011·Burns : Journal of the International Society for Burn Injuries·David Benjamin LumentaManfred Frey
Dec 17, 2008·Burns : Journal of the International Society for Burn Injuries·P GactoT Gómez-Cía
Jan 11, 2005·Burns : Journal of the International Society for Burn Injuries·S O'CeallaighT P F O'Connor
Oct 19, 2006·Burns : Journal of the International Society for Burn Injuries·Wei-Ping LiXiao-Guang Xu
Aug 16, 2006·Burns : Journal of the International Society for Burn Injuries·Metin YavuzSabri Acartürk
Jul 5, 2005·Burns : Journal of the International Society for Burn Injuries·Erol KesiktasSabri Acarturk
Dec 3, 2014·Burns : Journal of the International Society for Burn Injuries·Erol KesiktasMetin Yavuz
Jun 26, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·David PerraultClifford C Sheckter
Apr 7, 2011·Journal of Burn Care & Research : Official Publication of the American Burn Association·Volkan TayfurKutsal Yorukoglu
Jun 8, 2017·International Urology and Nephrology·Le GuoXiaoyuan Huang

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