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Management of burn guided studying of cutaneous microcirculation

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

General Surgery

Advisors

Mussttafa, Muhammad Q. , El-Ashmawi, Aly M. , El-Refaei, Khaled M.

Authors

Qenawi, Ahmad Muhammad

Accessioned

2017-04-26 12:43:23

Available

2017-04-26 12:43:23

type

M.D. Thesis

Abstract

Traditional methods of judging burn depth by clinical evaluation of the wound based on appearance and sensation remain in wide use but are subject to individual variation by examiner. In addition to the clinical difficulties with burn wound management, observer dependency of wound assessment complicates clinical trials of burn wound therapy.Average perfusion in various burn wounds was assessed using Laser Doppler Imaging (LDI). The time necessary for a complete healing of the wound was compared to the results of the LDI measurements. A certain depth of burn was associated with a typical pattern of perfusion in the course of time. There was a significant difference between average perfusion in a full thickness burn requiring surgical treatment and burns with regenerative capacities.This thesis confirms that LDI is a very accurate measurement tool for the assessment of burn wound depth. We recommend that all burns of intermediate depth should be analyzed in this way in order to ensure appropriate management of the burn, to avoid unnecessary surgery and to reduce hospital stay and costs. This has helped to take decision for intermediate and deep burn wounds whether conservative or early excision and reconstruction.

Issued

1 Jan 2006

DOI

http://dx.doi.org/10.21473/iknito-space/33771

Details

Type

Thesis

Created At

05 Feb 2023