Abstract

FERNANDEZ-CANAMAQUE, José Luis; GOMEZ-MARTIN, Cristina; GARCIA-MORATO, Rubén  and  HOLGUIN-HOLGADO, Purificación. Management of burned hand in a critical care burn unit. Cir. plást. iberolatinoam. [online]. 2017, vol.43, suppl.1, pp.s117-s128. ISSN 1989-2055.

Background and Objective. Hand burns have a very important total volume in healthcare. Virtually all of the population has suffered or will suffer throughout the life a burn on hands. Fortunately, the vast majority do not require a specialized attention by a plastic surgeon. Still, the impact of those who need such specialist attention is important and we must always plan what to do in every situation. The final function that is obtained from a burned hand will be vital whether it is the only area affected as if within the context of a critical burn patient, and more so in these cases as it will have a positive impact on their quality of life if results achieved are optimal and/or functional. The aim of this study is to present our experience as Burns Unit in the treatment of burned hands, and to review some examples of management of burns sequels in hands in order to get a complete reintegration of patients to their usual activities. Methods. We reviewed patients at our Unit involvement in hands, epidemiology, distribution in variables, and reviewed several cases, some typical and others less frequent. Results. We attended a total of 307 patients, 68 of them with burns in 1 hand, and 113 in both hands, finally needing surgery 155 hands. From the total, 39 patients came from the laboral ambient, 20 with hand burns, being both hands burns more frequent in those cases than in those who didn't suffered laboral accidents (4 burns in only 1 hand and 20 in both hands). Conclusions. Our cornerstones are: an accurate and early diagnosis of depth, extent and impact; an early and appropriate surgical treatment; continuous rehabilitation management; and a close follow up of the possible sequelae to treat them with the best indication and at the right time.

Keywords : Burns; Hands.

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