Our Experience and Clinical Findings in Perineal Burns: Implications for Patient Prognosis—A 3 Year Retrospective Study DOI Creative Commons

Matei Iordache,

Eliza-Maria Bordeanu-Diaconescu,

Andreea Grosu-Bularda

et al.

Medicina, Journal Year: 2024, Volume and Issue: 60(12), P. 2009 - 2009

Published: Dec. 5, 2024

Background and Objectives: Burn injury represents a very important public health problem that affects all age groups. Of burns, of particular interest is the perineum. Despite importance subject, unfortunately, medical literature on this anatomical region sparse. With study we aim to analyze characteristics burns affecting perineal area, physiopathologic implications injury, influence patient prognosis, possible complications therapeutic guidelines. Materials Methods: This formed by retrospective analysis cases were admitted over period spanning 3 years with total 258 burned patients. After inclusion criteria, selected 49 patients who had compared group non-perineal lot 198 (11 excluded). We studied their demographical aspects deemed most condition: age, sex, burn percentage body surface area (TBSA), third-degree lesions, comorbidities, associated infections, inhalation injuries calculated significant scores such as Abbreviated Severity Index score (ABSI). Results: The in our mostly severe extensive (64.9% mean TBSA) which also underlined ABSI 10.88 ± 2.46 thus having poor prognosis considering presence injuries. In study, usually adjacent regions abdominal wall comprising 51% thigh 97.9% relationship both explains higher TBSA underlines issues derive from perineum several lead an unbalance treatment still remains much debated when indications can become rather complex sequelae setting. Conclusions: issue one subjects plastic surgery. Being hard treat but big evolution survival chances prevention key factor.

Language: Английский

Strategies for Optimizing Acute Burn Wound Therapy: A Comprehensive Review DOI Creative Commons

Andrei Cretu,

Andreea Grosu-Bularda,

Eliza-Maria Bordeanu-Diaconescu

et al.

Medicina, Journal Year: 2025, Volume and Issue: 61(1), P. 128 - 128

Published: Jan. 15, 2025

Recent advancements in acute burn wound therapy are transforming the management of injuries, with a focus on improving healing times, graft integration, and minimizing complications. However, current clinical treatments face significant challenges, including difficulty accurately assessing depth tissue viability, which can lead to suboptimal treatment planning. Traditional closure methods often struggle issues such as delayed closure, limited survival, inadequate regeneration, insufficient vascularization. Furthermore, managing infection scarring remain persistent obstacles, impacting functional recovery aesthetic outcomes. Key areas innovation include advanced imaging techniques that enable more precise assessment depth, size, allowing for accurate In addition, new strategies being developed accelerate enhance address challenges vascularization, prevention. These aim optimize both outcomes, reducing quality life patients. While promising, these emerging require further research validation refine their effectiveness expand accessibility. Together, innovations represent shift care, offering potential personalized, efficient, effective treatments.

Language: Английский

Citations

0
New Challenges in the Diagnosis and Treatment of Primary Cutaneous Aspergillosis in Extensive Pediatric Burns DOI Creative Commons

Doina Iulia Nacea,

Dan Mircea Enescu,

Raluca Tătar

et al.

Journal of Fungi, Journal Year: 2025, Volume and Issue: 11(4), P. 281 - 281

Published: April 2, 2025

The aim of this study is to share our experience regarding the diagnosis and therapeutic management primary cutaneous aspergillosis (PCA) in burn patient, an uncommon infection associated with increased mortality, morbidity, treatment costs. uniqueness article presence PCA pediatric patients where Meek micrografting technique was used. We performed a retrospective from June 2020 November 2024. inclusion criteria were concomitant injuries confirmed PCA. identified six patients, aged between 12 17 years, admitted deep burns ranging 55% 90% total body surface area (TBSA). They required complex ICU underwent extensive excision–grafting surgeries. suspicion raised by changes appearance wounds. Systemic topical antifungal established after diagnosis. Five out cases had favorable outcome. use represents new challenge due polyamide gauze that covers micrografts. Early detection appropriate agents combined systemic may save infected grafts limit spread without necessarily removing gauze.

Language: Английский

Citations

0
The Effects of the COVID-19 Pandemic on Trends and Types of Pediatric Burn Injuries: Lessons from a National Burn Center and the Role of Strategic Resource Allocation DOI Creative Commons
Raluca Tătar,

Dan Mircea Enescu,

Doina Iulia Nacea

et al.

Life, Journal Year: 2025, Volume and Issue: 15(4), P. 544 - 544

Published: March 26, 2025

The COVID-19 pandemic had a huge global impact on healthcare systems that affected all medical services, including burn care facilities. This paper analyzes the effects of this crisis pediatric injuries by comparing patient data from 2019 (pre-pandemic) and 2020 (during pandemic) at national center in Romania. study included, overall, 676 patients, out which 412 were admitted 2019. In 2020, admissions decreased 35.9% (n = 264). However, moderate severe burns remained constant severity increased with larger total body surface area average. Surgical management rates hospital stay duration 18% to 39% 7 days 11 days, respectively. Admissions intensive unit mortality similar between 2020. Scalds leading cause both years; however, they area. Contact significantly 10.9% 5.2%, likely due reduced outdoor activities. concomitant presence SARS-CoV-2 infection did not have negative complication rates, surgical approaches, or hospitalization. These findings emphasize need preserve dedicated human material resources during health crises order offer access best quality care, thus ensuring optimal outcomes, regardless fluctuations admission rates.

Language: Английский

Citations

0
Our Experience and Clinical Findings in Perineal Burns: Implications for Patient Prognosis—A 3 Year Retrospective Study DOI Creative Commons

Matei Iordache,

Eliza-Maria Bordeanu-Diaconescu,

Andreea Grosu-Bularda

et al.

Medicina, Journal Year: 2024, Volume and Issue: 60(12), P. 2009 - 2009

Published: Dec. 5, 2024

Background and Objectives: Burn injury represents a very important public health problem that affects all age groups. Of burns, of particular interest is the perineum. Despite importance subject, unfortunately, medical literature on this anatomical region sparse. With study we aim to analyze characteristics burns affecting perineal area, physiopathologic implications injury, influence patient prognosis, possible complications therapeutic guidelines. Materials Methods: This formed by retrospective analysis cases were admitted over period spanning 3 years with total 258 burned patients. After inclusion criteria, selected 49 patients who had compared group non-perineal lot 198 (11 excluded). We studied their demographical aspects deemed most condition: age, sex, burn percentage body surface area (TBSA), third-degree lesions, comorbidities, associated infections, inhalation injuries calculated significant scores such as Abbreviated Severity Index score (ABSI). Results: The in our mostly severe extensive (64.9% mean TBSA) which also underlined ABSI 10.88 ± 2.46 thus having poor prognosis considering presence injuries. In study, usually adjacent regions abdominal wall comprising 51% thigh 97.9% relationship both explains higher TBSA underlines issues derive from perineum several lead an unbalance treatment still remains much debated when indications can become rather complex sequelae setting. Conclusions: issue one subjects plastic surgery. Being hard treat but big evolution survival chances prevention key factor.

Language: Английский

Citations

1