Archives of Plastic Surgery

  • 제46권1호
  • /
  • Pages.88-91
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  • 2019
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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The diathermy scratch pad: A cheap and efficient tool for chemical and explosion-related burns

  • Wong, Allen Wei-Jiat (Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital) ;
  • Hong, Qi En (Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital) ;
  • Hui, Cheryl Li Yu (Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital) ;
  • Chong, Si Jack (Plastic, Reconstructive and Aesthetic Surgery Service, Sengkang General Hospital)
  • 투고 : 2018.05.10
  • 심사 : 2018.10.22
  • 발행 : 2019.01.15
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초록

The burn center in our hospital is a national and regional (Southeast Asia) center. Of all admissions, 10% are related to blast explosions, and 8% due to chemical burns. In the acute burn management protocol of Singapore General Hospital, early surgical debridement is advocated for all acute partial-thickness burns. The aim of early surgical debridement is to remove all debris and unhealthy tissue, preventing wound infection and thereby expediting wound healing. In chemical burns, there can be stubborn eschars that are resistant to traditional debridement. We would like to present a novel technique using the diathermy scratch pad as a cheap and efficient tool for the dual purpose of surgical debridement and dermabrasion.

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참고문헌

  1. Chong SJ, Song C, Tan TW, et al. Multi-variate analysis of burns patients in the Singapore General Hospital Burns Centre (2003-2005). Burns 2009;35:215-20. https://doi.org/10.1016/j.burns.2008.06.014
  2. Hwee J, Song C, Tan KC, et al. The trends of burns epidemiology in a tropical regional burns centre. Burns 2016;42: 682-6. https://doi.org/10.1016/j.burns.2015.10.019
  3. Tay KS, Chong SJ, Tan BK. Impact of a newly implemented burn protocol on surgically managed partial thickness burns at a specialized burns center in Singapore. Ann Plast Surg 2016;76:276-9. https://doi.org/10.1097/SAP.0000000000000682
  4. Chong SJ, Kok YO, Choke A, et al. Comparison of four measures in reducing length of stay in burns: an Asian centre's evolved multimodal burns protocol. Burns 2017;43: 1348-55. https://doi.org/10.1016/j.burns.2017.03.011
  5. Boudana DA, Wolber A, De Broucker V, et al. The use of Versajet hydrosurgery system in the treatment of vesicant burn caused by sulphur mustard: a propos of one case. Burns 2010;36:e44-8. https://doi.org/10.1016/j.burns.2009.04.013
  6. Klein MB, Hunter S, Heimbach DM, et al. The Versajet water dissector: a new tool for tangential excision. J Burn Care Rehabil 2005;26:483-7. https://doi.org/10.1097/01.bcr.0000185398.13095.c5
  7. Seoighe DM, Power K. Use of the scratch pad for granulation tissue debridement. J Plast Reconstr Aesthet Surg 2010;63:e587. https://doi.org/10.1016/j.bjps.2010.01.011
  8. Ogawa R. Keloid and hypertrophic scars are the result of chronic inflammation in the reticular dermis. Int J Mol Sci 2017;18:E606. https://doi.org/10.3390/ijms18030606
  9. Campbell TM, Eisen DB. Electrobrasion: an alternative to dermabrasion. Dermatol Surg 2010;36:1739-42. https://doi.org/10.1111/j.1524-4725.2010.01729.x
  10. Kidwell MJ, Arpey CJ, Messingham MJ. A comparison of histologic effectiveness and ultrastructural properties of the electrocautery scratch pad to sandpaper for manual dermabrasion. Dermatol Surg 2008;34:1194-9. https://doi.org/10.1097/00042728-200809000-00005