Concluded Case

gluteal wounds

40 years male, non dm, with electric burn injury as in the picture. Management options? P.S: patient is ambulatory.

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Concluded answer

Old electric burn injury rt gluteal region with dead skin over some part of the wound other part of the wound looks apparently healthy. Management of the wound Debribement of the dead skin with scrapping of the wound so that bleeds easily Regular dressing irrigation of H2,O2 and normal saline.till the wound is healthy and welformed granulation then to take measure for covering the wound either by rotation flap or by spit graft.

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Old electric burn injury rt gluteal region with dead skin over some part of the wound other part of the wound looks apparently healthy. Management of the wound Debribement of the dead skin with scrapping of the wound so that bleeds easily Regular dressing irrigation of H2,O2 and normal saline.till the wound is healthy and welformed granulation then to take measure for covering the wound either by rotation flap or by spit graft.

Thanks Dr Shivraj Agarwal
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Deep electric burn injury gluteal region with gangrenous tissue Rx first take xrays to study depth of injury As pt is ambulatory unlikely bone injuries Hence debridement of wound thoroughly and do a primary closure if possible leaving window for drainage Otherwise after debridement irrigation with h2o2 and NS dressings with bactigrass Once wound is healed ssg may be considered

Thanx dr Ramesh Kumar Singh
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Debridement and dressings with Megaheal ointment and ointment Placentrex, Tab Lizokem 600 one bd, Tab Cellin 500 one daily

Thank you doctor
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Dress with placentrex and metrogyl Inj.lyotaz 4.5 gm bd for 10 days than another 14 days od Tab.lizomac 600 bdpc 1 month Tab.levomac 500 od 1 month Tab.Enzoheal forte bd pc 1 month Cap.Becozinc bdpc 1 month

Thanks
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