Abstract

Case Report

Acute and post burn reconstructive surgery of the female trunk with artificial dermis to facilitate healthy pregnancy

Dantzer E*, Campech G and Mazanovich M

Published: 04 May, 2020 | Volume 4 - Issue 1 | Pages: 028-031

The sequelae of deep and extensive burns to the abdomen can lead to serious complications during pregnancy. Studies and publications covering this subject are scarce and outdated. The complications described arise during the 3rd trimester of pregnancy, and surgical treatments to address these complications can initiate premature labor with a risk of fetal demise. We felt it would be of interest to prevent these complications through surgical treatments performed before the pregnancy. The need to reconstruct large regions of abdominal scar tissue prompted us to turn to the Integra® dermal equivalent for preventative surgical treatments.

Read Full Article HTML DOI: 10.29328/journal.acr.1001036 Cite this Article Read Full Article PDF

References

  1. Burke JF, Yannas IV, Quinby WC, Jr., Bondoc CC, Jung WK. Successful use of a physiologically acceptable artificial skin in the treatment of extensive burn injury. Ann Surg. 1981; 194: 413-428. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1345315/
  2. Dantzer E, Queruel P, Salinier L, Palmier B, Quinot JF. Integra, a new surgical alternative for the treatment of massive burns. Clinical evaluation of acute and reconstructive surgery: 39 cases. Ann Chir Plast Esthet. 2001; 46: 173-189. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/11447623
  3. Dantzer E, Braye FM. Reconstructive surgery using an artificial dermis (Integra): results with 39 grafts.Br J Plast Surg. 2001 ; 54 : 659-664.PubMed : https://www.ncbi.nlm.nih.gov/pubmed/11728107
  4. Daw E, Mohandas I. Pregnancy in patients after severe abdominal burns. British Journal of obstetrics and gynecology. 1983; 90: 69-72. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/6821672
  5. Fioretti P, Weiss C, Cilotti A, Strigini F, Melis GB. Old abdominal burns and caesarean section case report. Bri J Obstets Gynecol. 1987; 99: 596-597.PubMed: https://www.ncbi.nlm.nih.gov/pubmed/3620406
  6. Haesker B,Green MF. A complication in pregnancy due to severe burns in childhood. Br J Plast Surg. 1981; 34: 102-104. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/7459514
  7. Heimbach D, Luterman A, Burke J, Cram A, Herndon D, Hunt J, et al. Artificial dermis for major burns. A multi-center randomized clinical trial. Ann Surg. 1988; 208: 313-320. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1493652/
  8. Heimbach DM, Warden GD, Luterman A, Jordan MH, Ozobia N, et al. Multicenter postapproval clinical trial of Integra dermal regeneration template for burn treatment. J Burn Care Rehabil .2003; 24: 42-48. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12543990
  9. Ivy ME, Possenti PP, Kepros J, Atweh NA, D'Aiuto M, et al. Abdominal comportment syndrome in patients with burns. J Burn Care Rehabil. 1999; 20: 351-353. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10501319
  10. Kitzmiller WJ,Neale HW,Warden GD.The effects of full thickness abdominal wall burns sustained during childhood of subsequent childbearing ability. Ann Plast Surg. 1998; 40: 111-113.PubMed: https://www.ncbi.nlm.nih.gov/pubmed/9495456
  11. Lin SD, Chou CK, Yang CC, Lai CS. Management of hypertrophic scars on the pubic area with an iliac flap. Burns. 1991; 7: 220-224. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/1892555
  12. Mac Cawley RL,Sternberg BA,Phillips LG and All. Long term assessment of the effects of circumferential truncal burns in peadiatric patients on subsequents pregnancies. J Burn Care Rehabil. 1991; 12: 51-53. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/2022682
  13. Webb JC, Baack BR, Osler TM, Davis VH, Izquierdo LA, et al. A pregnancy complicated by mature abdominal burn scarring and its surgical solution: case report. J Burn Care Rehabil. 1995; 16: 276-279. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/7673308
  14. Widgerow AD, Ford TD, Botha M. Burn contracture preventing uterine expansion. Ann Plast Surg, 1991; 27: 269-271. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/1835337

Figures:

Figure 1

Figure 1

Figure 1

Figure 2

Figure 1

Figure 3

Figure 1

Figure 4

Figure 1

Figure 5

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More