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Федеральное государственное бюджетное образовательное учреждение высшего образования «Челябинский государственный университет», 2020
Journal of Society of Surgeons of Nepal, 2021
Introduction: Scalp defects are difficult to manage due to their inelastic nature, thus possess s... more Introduction: Scalp defects are difficult to manage due to their inelastic nature, thus possess significant surgical and aesthetic concerns. The objective of the study was to analyse various scalp defects in terms of their clinical presentation, management and outcome in the context of Nepal. Methods: This was a retrospective review conducted by analysing clinical records of all the scalp reconstructions performed at Tribhuvan University Teaching Hospital (TUTH) from May 2018 to March 2021. Results: Among the 69 patients operated there were 37 females and 32 males. Most patients were in the age group of 0-10 years and 31-40 years with mean age of 30 years. Most common cause for defect was trauma (27 cases), followed by post oncologic resection (15), burn (11), raw area post craniotomy (7) and benign scalp lesions in 9 cases. Skin grafting was the most common procedure performed (16 cases), followed by transposition flap (15), primary closure (13), rotation flap (9) and free flap i...
Results Out of 124 patients with burn injuries, there were more females (n=65, 52.4 %) than males... more Results Out of 124 patients with burn injuries, there were more females (n=65, 52.4 %) than males (n=59, 47.6%). Flame burn was the most common mode of injury (n=71,57.3 %) followed by scald (n=22,17.7 %). Thirtyeight (30.6%) patients arrived to hospital on the same day of injury. The average time required to reach our hospital was 24 hours. The most frequently involved site was lower extremities (n=40, 32.26%) followed by upper extremities (n=33, 26.62%). Total body surface area (TBSA) involved in the burn injury ranges from 10% to 50% with a median of 15%. Hospital stay was 14 to 58 days with a median of 17 days. Partial thickness burn was seen in 114 (91.94%) patients whereas 10 (8.06%) patients had full thickness burn. Surgical intervention was needed in 71 (57.26%) patients. Among 71 patients, 12 patients underwent surgery twice. Fifty-two (41.94%) patients were managed conservatively. The mortality rate was 4.03%.
ACS Applied Materials & Interfaces, 2019
Федеральное государственное бюджетное образовательное учреждение высшего образования «Челябинский государственный университет», 2020
Journal of Society of Surgeons of Nepal, 2021
Introduction: Scalp defects are difficult to manage due to their inelastic nature, thus possess s... more Introduction: Scalp defects are difficult to manage due to their inelastic nature, thus possess significant surgical and aesthetic concerns. The objective of the study was to analyse various scalp defects in terms of their clinical presentation, management and outcome in the context of Nepal. Methods: This was a retrospective review conducted by analysing clinical records of all the scalp reconstructions performed at Tribhuvan University Teaching Hospital (TUTH) from May 2018 to March 2021. Results: Among the 69 patients operated there were 37 females and 32 males. Most patients were in the age group of 0-10 years and 31-40 years with mean age of 30 years. Most common cause for defect was trauma (27 cases), followed by post oncologic resection (15), burn (11), raw area post craniotomy (7) and benign scalp lesions in 9 cases. Skin grafting was the most common procedure performed (16 cases), followed by transposition flap (15), primary closure (13), rotation flap (9) and free flap i...
Results Out of 124 patients with burn injuries, there were more females (n=65, 52.4 %) than males... more Results Out of 124 patients with burn injuries, there were more females (n=65, 52.4 %) than males (n=59, 47.6%). Flame burn was the most common mode of injury (n=71,57.3 %) followed by scald (n=22,17.7 %). Thirtyeight (30.6%) patients arrived to hospital on the same day of injury. The average time required to reach our hospital was 24 hours. The most frequently involved site was lower extremities (n=40, 32.26%) followed by upper extremities (n=33, 26.62%). Total body surface area (TBSA) involved in the burn injury ranges from 10% to 50% with a median of 15%. Hospital stay was 14 to 58 days with a median of 17 days. Partial thickness burn was seen in 114 (91.94%) patients whereas 10 (8.06%) patients had full thickness burn. Surgical intervention was needed in 71 (57.26%) patients. Among 71 patients, 12 patients underwent surgery twice. Fifty-two (41.94%) patients were managed conservatively. The mortality rate was 4.03%.
ACS Applied Materials & Interfaces, 2019