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KMID : 0853020150180010013
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Journal of Korean Burn Society
2015 Volume.18 No. 1 p.13 ~ p.18
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Comparison of Surgical Treatment versus Conservative Treatment in Management of HMA(Hot Melt Adhesive) Burn Injury
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Kim Dae-Hyun
Kim Kyung-Sik
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Abstract
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Purpose: HMA (Hot melt adhesive) is a thermoplastic adhe-sive that is commonly used at glue guns. Nowadays, HMA burns are increasing because of increased consumption of D.I.Y (Do-it-yourself) products and field based experiential learning. Because of patients’ lack of knowledge and charac-ter of HMA burn, many patients visit the hospital in late period with severe, deep degree burns. At this moment, early surgi-cal intervention may help to shorten the therapeutic period. We planned this study to evaluate the effect of early surgical intervention on shortening the therapeutic period, compared with conservative management.
Methods: This study conducted from April 1, 2013 to April 1, 2015. Thirty seven patients with deep burn wounds due to HMA, who underwent surgical or conservative management were enrolled. Operative group received more than one sur-gical management, and conservative group were treated by wound dressing. The effectiveness was evaluated by com-paring the treatment period between two groups.
Results: The average time of treatment was 23.9 day in oper-ative group and 39.1 day in conservative group, and the re-sult was statistically significant (P=0.027).
Conclusion: The result of this study suggests that surgical treatment and conservative treatment show significant differ-ence in treatment of HMA burns. Therefore, surgical therapy may be considered as a proper choice for treating HMA burn injury patients.
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KEYWORD
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Burn, Surgery, Analysis
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