Pediatric limb salvage after severe thermal injury

Pediatric limb salvage after severe thermal injury

Fourth-degree burns represent a significant challenge due to the exposure of delicate tissues (i.e., neurovascular structures, bones, joints) and complications (i.e., infection and graft loss). In addition to the typical challenges of significant tissue loss associated with fourth-degree burns, this...

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Main Authors: K.N. Partain, D. Noffsinger, R.K. Thakkar, R. Fabia
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:Burns Open
Online Access:http://www.sciencedirect.com/science/article/pii/S2468912220300080
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spelling doaj-70ab39c0981a4f10aa48af03eb8e30452020-11-25T02:27:05ZengElsevierBurns Open2468-91222020-04-01427880Pediatric limb salvage after severe thermal injuryK.N. Partain0D. Noffsinger1R.K. Thakkar2R. Fabia3Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United States; Corresponding author.Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United States; Burn Program, Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United StatesDepartment of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United States; Burn Program, Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United StatesDepartment of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United States; Burn Program, Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United StatesFourth-degree burns represent a significant challenge due to the exposure of delicate tissues (i.e., neurovascular structures, bones, joints) and complications (i.e., infection and graft loss). In addition to the typical challenges of significant tissue loss associated with fourth-degree burns, this is the first case report to describe a large-volume lymphatic leak of the extremity. We treated the lymphatic leak with bowel rest, parenteral nutrition, Octreotide, collagen matrix, and negative-pressure vacuum-assisted closure (V.A.C.®) therapy.http://www.sciencedirect.com/science/article/pii/S2468912220300080
collection DOAJ
language English
format Article
sources DOAJ
author K.N. Partain
D. Noffsinger
R.K. Thakkar
R. Fabia
spellingShingle K.N. Partain
D. Noffsinger
R.K. Thakkar
R. Fabia
Pediatric limb salvage after severe thermal injury
Burns Open
author_facet K.N. Partain
D. Noffsinger
R.K. Thakkar
R. Fabia
author_sort K.N. Partain
title Pediatric limb salvage after severe thermal injury
title_short Pediatric limb salvage after severe thermal injury
title_full Pediatric limb salvage after severe thermal injury
title_fullStr Pediatric limb salvage after severe thermal injury
title_full_unstemmed Pediatric limb salvage after severe thermal injury
title_sort pediatric limb salvage after severe thermal injury
publisher Elsevier
series Burns Open
issn 2468-9122
publishDate 2020-04-01
description Fourth-degree burns represent a significant challenge due to the exposure of delicate tissues (i.e., neurovascular structures, bones, joints) and complications (i.e., infection and graft loss). In addition to the typical challenges of significant tissue loss associated with fourth-degree burns, this is the first case report to describe a large-volume lymphatic leak of the extremity. We treated the lymphatic leak with bowel rest, parenteral nutrition, Octreotide, collagen matrix, and negative-pressure vacuum-assisted closure (V.A.C.®) therapy.
url http://www.sciencedirect.com/science/article/pii/S2468912220300080
work_keys_str_mv AT knpartain pediatriclimbsalvageafterseverethermalinjury
AT dnoffsinger pediatriclimbsalvageafterseverethermalinjury
AT rkthakkar pediatriclimbsalvageafterseverethermalinjury
AT rfabia pediatriclimbsalvageafterseverethermalinjury
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