Feasibility and safety of enzymatic debridement for the prevention of operative escharotomy in circumferential deep burns of the distal upper extremity.

Publikation

Feasibility and safety of enzymatic debridement for the prevention of operative escharotomy in circumferential deep burns of the distal upper extremity.

Wissenschaftlicher Artikel/Review - 22.01.2019

Fischer Sebastian, Haug Valentin, Diehm Yannick, Rhodius Patrick, Cordts Tomke, Schmidt Volker, Kotsougiani Dimitra, Horter Johannes, Kneser Ulrich, Hirche Christoph

Zitation

Fischer S, Haug V, Diehm Y, Rhodius P, Cordts T, Schmidt V, Kotsougiani D, Horter J, Kneser U, Hirche C. Feasibility and safety of enzymatic debridement for the prevention of operative escharotomy in circumferential deep burns of the distal upper extremity. Surgery 2019; 165:1100-1105.

Art

Wissenschaftlicher Artikel/Review (Englisch)

Zeitschrift

Surgery 2019; 165

Veröffentlichungsdatum

22.01.2019

eISSN (Online)

1532-7361

Seiten

1100-1105

Kurzbeschreibung/Zielsetzung

Burn-induced compartment syndrome is a severe sequela after circumferential burns of the extremities and is avoidable by immediate release of the underlying pressure under the eschar. Although the current gold standard is operative escharotomy, this procedure carries considerable morbidity. Our study evaluates the safety and effectiveness of immediate enzymatic debridement to prevent the need for operative escharotomy because of burn-induced compartment syndrome in selected patients.