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International Journal of Practical Nursing

Volume  10, Issue 3, October - December 2022, Pages 77-82
 

Original Article

Techniques of Wound Bed Preparation in Scalp Electrical Burn Wound

Barath Kumar Singh P1, Ravi Kumar Chittoria2

1Senior Resident, Department of Plastic Surgery, 2Professor & Head of IT Wing and Telemedicine, Department of Plastic Surgery & Telemedicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.

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DOI: DOI: http://dx.doi.org/10.21088 ijpn.2347.7083.1032.1

Abstract

Electrical burn wound to the scalp which causes deep thermal burns may cause injury to all layers of the scalp including bone which can create a raw area of the scalp with exposed skull bone which is difficult to reconstruct as the bone was exposed without periosteum. The bone without periosteum will not usually granulate. In our case, we used regenerative techniques for exposed bone in the scalp wounds for granulation for flap cover. We have used dermabrasion-assisted wound debridement to remove the necrosed top layer of bone and used regenerative techniques like Low-level laser therapy, Human amniotic membrane, collagen scaffold application, and cyclic Negative pressure wound therapy for wound bed preparation. We will discuss regenerative techniques in this article.


Keywords : Stress; Health care workers; Occupational stress
Corresponding Author : Ravi Kumar Chittoria, Professor & Head of IT Wing and Telemedicine, Department of Plastic Surgery & Telemedicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.