Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Aggressive approach to the extremity damaged by electric current.

P F Parshley, J Kilgore, J F Pulito

    American Journal of Surgery
    |July 1, 1985
    PubMed
    Summary

    Prompt surgical exploration and fasciotomy for electrical current extremity injuries can salvage limbs. Early debridement and advanced wound closure techniques, like flaps, improve outcomes and prevent complications.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    The goals and intentions of certification and recertification.

    Academic medicine : journal of the Association of American Medical Colleges·2001
    Same author

    The measure of advocacy.

    The American journal of nursing·2000
    Same author

    Paying private practitioners to teach.

    Academic medicine : journal of the Association of American Medical Colleges·1998
    Same author

    Competitive forces and academic plastic surgery.

    Plastic and reconstructive surgery·1998
    Same author

    New trends in skin tumor surgery.

    International surgery·1997
    Same author

    Tissue repair after Mohs surgery. A plastic surgeon's view.

    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]·1997

    Area of Science:

    • Trauma Surgery
    • Burn Management
    • Orthopedic Surgery

    Background:

    • Electrical current injuries frequently affect extremities, posing a risk of limb loss.
    • Timely intervention is critical for managing tissue damage and preserving function.

    Purpose of the Study:

    • To evaluate the effectiveness of early surgical exploration and fasciotomy in salvaging limbs affected by electrical current injuries.
    • To assess the outcomes of surgical management and reconstructive techniques in these complex cases.

    Main Methods:

    • Retrospective review of 75 patients with electrical burns over 11 years.
    • Analysis of 41 patients with extremity electrical current injuries.
    • Surgical exploration, decompression, debridement, and fasciotomy based on physical findings.

    Related Experiment Videos

  • Use of biologic dressings, local, and free flaps for wound closure.

    • Main Results:

    • 27 limbs in 14 patients underwent prompt exploration and debridement.
    • 10 extremities were salvaged, while 11 required major amputation during initial surgery.
    • No extremity requiring exploration was missed.
    • No renal failure or deaths from retained necrotic tissue were observed.

    Conclusions:

    • Early surgical intervention, including exploration and fasciotomy, is crucial for limb salvage in electrical current injuries.
    • Aggressive debridement and appropriate wound closure methods, including flaps, are essential for successful outcomes.
    • This approach minimizes complications such as renal failure and mortality.