Biobrane~(TM) for burns of the pubic region: minimizing dressing changes
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摘要
Background: The pubic region is often involved in accidental hot water or soup-spill burns. Most of these wounds are superficial partial thickness burns. Due to their proximity to the urinary system, as well as vaginal and anal openings,these burns are easily contaminated. Daily dressings are routinely prescribed as the sole treatment. The cumbersome dressing process is uncomfortable and embarrassing for patients. Biobrane~(TM) is a bilayered biosynthetic dressing. Its coverage of superficial partial thickness burns promotes wound healing and allows one-time application.Case presentations: We report two patients who suffered superficial dermal burns over their pubic region. One patient had 23% total body surface area(TBSA) burns over her lower abdomen, both thighs and pubic region. The second patient had 10% TBSA burns that involved her perineum and the medial sides of both thighs and buttocks.Both were managed with the standard resuscitation protocol in the initial phase. Their burn injuries were managed by shaving, Foley catheterization and Biobrane~(TM) coverage. Their wounds healed uneventfully without complications.Full epithelization was achieved by post-operative day seven. Both patients consented to medical photography and academic publication.Conclusions: Shaving and catheterization improved the hygiene of the burns of the pubic area. The Biobrane~(TM)method circumvents the need of regular dressing changes, eliminating the pain due to dressing changes and preserving patient dignity.
Background: The pubic region is often involved in accidental hot water or soup-spill burns. Most of these wounds are superficial partial thickness burns. Due to their proximity to the urinary system, as well as vaginal and anal openings,these burns are easily contaminated. Daily dressings are routinely prescribed as the sole treatment. The cumbersome dressing process is uncomfortable and embarrassing for patients. Biobrane~(TM) is a bilayered biosynthetic dressing. Its coverage of superficial partial thickness burns promotes wound healing and allows one-time application.Case presentations: We report two patients who suffered superficial dermal burns over their pubic region. One patient had 23% total body surface area(TBSA) burns over her lower abdomen, both thighs and pubic region. The second patient had 10% TBSA burns that involved her perineum and the medial sides of both thighs and buttocks.Both were managed with the standard resuscitation protocol in the initial phase. Their burn injuries were managed by shaving, Foley catheterization and Biobrane~(TM) coverage. Their wounds healed uneventfully without complications.Full epithelization was achieved by post-operative day seven. Both patients consented to medical photography and academic publication.Conclusions: Shaving and catheterization improved the hygiene of the burns of the pubic area. The Biobrane~(TM)method circumvents the need of regular dressing changes, eliminating the pain due to dressing changes and preserving patient dignity.
Background: The pubic region is often involved in accidental hot water or soup-spill burns. Most of these wounds are superficial partial thickness burns. Due to their proximity to the urinary system, as well as vaginal and anal openings,these burns are easily contaminated. Daily dressings are routinely prescribed as the sole treatment. The cumbersome dressing process is uncomfortable and embarrassing for patients. Biobrane~(TM) is a bilayered biosynthetic dressing. Its coverage of superficial partial thickness burns promotes wound healing and allows one-time application.Case presentations: We report two patients who suffered superficial dermal burns over their pubic region. One patient had 23% total body surface area(TBSA) burns over her lower abdomen, both thighs and pubic region. The second patient had 10% TBSA burns that involved her perineum and the medial sides of both thighs and buttocks.Both were managed with the standard resuscitation protocol in the initial phase. Their burn injuries were managed by shaving, Foley catheterization and Biobrane~(TM) coverage. Their wounds healed uneventfully without complications.Full epithelization was achieved by post-operative day seven. Both patients consented to medical photography and academic publication.Conclusions: Shaving and catheterization improved the hygiene of the burns of the pubic area. The Biobrane~(TM)method circumvents the need of regular dressing changes, eliminating the pain due to dressing changes and preserving patient dignity.
引文
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2. Demling RH. Use of biobrane in management of scalds. J Burn Care Rehabil. 1995;16(3 Pt 1):329-30.
3. Whitaker IS, Prowse S, Potokar TS. A critical evaluation of the use of biobrane as a biologic skin substitute. Ann Plast Surg.2008;60(3):333-7.
4. Kiong KL, Chong SJ, Tan BK. Biobrane for burns of the ear-a novel technique. Burns. 2015;41(2):414.
5. Still J, Craft-Coffman B, Law E, Colon-Santini J, Grant J. Burns of children caused by electric stoves. J Burn Care Rehabil.1998;19(4):364-5.
6. Cheah AKW, Chong SJ, Tan BK. Early experience with biobraneTM in Singapore in the management of partial thickness burns. Proc Singapore Healthc. 2014;23(3):196-200.
7. Kagan RJ, Peck MD, Ahrenholz DH, Hickerson WL, Holmes J 4th,Korentager R, et al. Surgical management of the burn wound and use of skin substitutes. J Burn Care Res. 2013;34(2):e60-79.
8. Tenenhaus M, Rennekampff HO. Burn surgery. Clin Plast Surg.2007;34(4):697-715.
2. Demling RH. Use of biobrane in management of scalds. J Burn Care Rehabil. 1995;16(3 Pt 1):329-30.
3. Whitaker IS, Prowse S, Potokar TS. A critical evaluation of the use of biobrane as a biologic skin substitute. Ann Plast Surg.2008;60(3):333-7.
4. Kiong KL, Chong SJ, Tan BK. Biobrane for burns of the ear-a novel technique. Burns. 2015;41(2):414.
5. Still J, Craft-Coffman B, Law E, Colon-Santini J, Grant J. Burns of children caused by electric stoves. J Burn Care Rehabil.1998;19(4):364-5.
6. Cheah AKW, Chong SJ, Tan BK. Early experience with biobraneTM in Singapore in the management of partial thickness burns. Proc Singapore Healthc. 2014;23(3):196-200.
7. Kagan RJ, Peck MD, Ahrenholz DH, Hickerson WL, Holmes J 4th,Korentager R, et al. Surgical management of the burn wound and use of skin substitutes. J Burn Care Res. 2013;34(2):e60-79.
8. Tenenhaus M, Rennekampff HO. Burn surgery. Clin Plast Surg.2007;34(4):697-715.