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

Publication

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

Journal Paper/Review - Jan 22, 2019

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

Citation

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.

Type

Journal Paper/Review (English)

Journal

Surgery 2019; 165

Publication Date

Jan 22, 2019

Issn Electronic

1532-7361

Pages

1100-1105

Brief description/objective

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.