Burns : journal of the International Society for Burn Injuries
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Local adipofascial turn-over flaps overlaid with skin grafts were used successfully to reconstruct nine deep burn wounds following electric injuries or contact burns in seven patients. Durable flap coverage of the exposed tendons, joints or bones can be achieved with a one-stage procedure. ⋯ The adipofascial turn-over flap is a reliable and simple technique for reconstruction of certain deep burn wounds if the surrounding soft tissue is available. The functional and cosmetic results in our series have been rewarding and satisfactory.
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The first 12 months of a new consultation-liaison service to a burns unit is described. Management of contact between the psychiatrist and the burns team is discussed and diagnostic categories are given for referrals seen. Diagnostic criteria are not achieved for many patients assessed, and yet the burns team still requires help managing patients who are psychologically disturbed. Education and a forum for team discussion are used as a way for the burns team to integrate psychological work in the management of their patients.
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This report describes the statistical analysis of 629 burn patients treated between January 1989 and August 1990. The analysed data include age, sex, cause of burn and mortality in relation to age, cause and extent of burn injuries. Additional information with regard to socioeconomic status, marital status, place of burn, family size, type of burn, time of accident and time between injury and hospital admission was obtained from analysis of 271 of the 629 patients admitted between January 1990 and August 1990. ⋯ Flame burns resulted in maximum deaths (62.1 per cent). In patients with over 40 per cent burns, the mortality was about 80 per cent. There were no survivors in patients with over 70 per cent TBSA burns in our series.
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A woman with very extensive burns (of over 75 per cent TBSA and 45 per cent full skin thickness) received cyclosporin to extend the survival of skin allografts obtained from several unmatched donors. The patients' wounds appeared completely healed after 3 months when the cyclosporin was discontinued. ⋯ The burns were then successfully covered with autografts during two operations. The late functional results were excellent.
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Haemodynamic monitoring is important in severely burned patients and repeated catheterization of the arteries of these victims seems to be inevitable. We present a 46-year-old female with 54 per cent TBSA burns who suffered from bilateral femoral mycotic aneurysms due to repeated arterial punctures.