Related Experiment Videos
[Intestinal perforation caused by severe electrical burn: report of 5 cases]
1Xijing Hospital, Fourth Military Medical University, Xian.
Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|November 1, 1993
Summary
Severe high voltage electrical burns causing intestinal perforations require early laparotomy and bowel resection. Successful treatment involves managing abdominal wall defects and providing nutritional support for recovery.
Area of Science:
- Trauma Surgery
- Burn Management
- Gastrointestinal Surgery
Context:
- Severe high voltage electrical burns can lead to extensive abdominal wall necrosis and intestinal perforations.
- Peritonitis and intestinal prolapse are critical complications requiring immediate surgical intervention.
Purpose:
- To report on the successful management of five cases of severe high voltage electrical burns with intestinal perforations.
- To outline the surgical strategies and postoperative care for these complex injuries.
Summary:
- Early acute laparotomy was performed, including resection of necrotic and perforated small intestine with end-to-end anastomosis in four cases.
- Colon resection with or without immediate anastomosis, and management of bowel fistulae were addressed.
- Abdominal wall defects were managed with skin grafting and omentum, with secondary repair using myocutaneous flaps.
Impact:
- This study highlights successful outcomes in treating severe electrical burns with intestinal injuries, emphasizing prompt surgical intervention.
- Effective management of abdominal wall defects and comprehensive postoperative care, including parenteral nutrition and anti-infection therapy, are crucial for patient recovery.
- No complications were reported in the treated cases, indicating the efficacy of the described treatment protocols.