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KMID : 0853020100130020140
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Journal of Korean Burn Society
2010 Volume.13 No. 2 p.140 ~ p.44
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Investigation of the Result of Massive Pediatric Burn Patients: Early Escharectomy and Allograft
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Yang Hyeong-Tae
Yim Hae-Jun
Cho Yong-Suk
Kim Do-Hern
Hur Jun
Chun Wook
Kim Jong-Hyun
Seo Cheon-Hoon
Lee Boung-Chul
Ko Jang-Hyu
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Abstract
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Purpose: Massive pediatric burns are subject to progress to wound infection and sepsis at early stage. Early escharectomy and allograft made it safer to treat the pediatric burn patients from this morbidity. The purpose of this study is to analyze the impact of the early escharectomy and temporary wound coverage with allograft on massive pediatric burns.
Methods: From January 1999 to August 2010, 55 pediatric burn patients aged 1 to 10 years whose total burn surface area was over 20% were reviewed. Among them, only 19 patients underwent escharectomy (Pediatric escharectomy group, PEG) and 36 patients underwent escharectomy and allograft (Pediatric allograft group, PAG) And 533 allograft patients (Allograft group, AG) aged over 10 whose total burn surface area were over 20% were reviewed to compare with the pediatric allograft patients.
Results: PAG was operated earlier (mean 3.6 days from injury) than PEG (mean 5.9 days). The mortality of PAG (8.3%) was lower than the mortality of PEG (31.6%) significantly. And the PAG were operated earlier than AG (mean 5.8 days from injury). But the difference of mortality was not significant statistically between PAG and AG.
Conclusion: Early escharectomy and allograft is safe and effective treatment procedure for massive pediatric burn patients by preventing wound sepsis.
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KEYWORD
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Early escharectomy, Allograft, Massive pediatric burns
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