Yim Guang H, Ahmad Zeeshan, Jeffery Steven L A
The Healing Foundation for Burns Research, Department of Burns and Plastic Surgery, Queen Elizabeth Hospital, Mindelsohn Way, Birmingham, B15 2WB, UK.
Eplasty. 2015 Jan 8;15:e1. eCollection 2015.
The authors present the novel use of a new generation surgical ablative tool known as the WoundWand.
A 66-year-old woman presented with 18% deep-dermal and full-thickness burns affecting the left side of her body including the total left upper limb, abdomen, and left thigh following lighting a cigarette in bed while on home oxygen therapy. She underwent tangential excision of burn using the WoundWand with immediate reconstruction using split skin grafts and topical negative pressure therapy.
We found that we were able to easily tangentially excise the hard eschar from delicate areas such as the hand and fingers using the WoundWand.
The authors conclude that the novel use of this device particularly in delicate areas such as dorsum of fingers and hand has some advantages over preexisting methods. Further clinical study may add to the surgical armamentarium of the burns surgeon.
作者介绍了一种名为WoundWand的新一代手术消融工具的新用途。
一名66岁女性，在家中进行氧气治疗时在床上吸烟后，身体左侧包括整个左上肢、腹部和左大腿遭受了18%的深真皮和全层烧伤。她使用WoundWand进行了烧伤创面的削痂，并立即采用自体皮片移植和局部负压治疗进行重建。
我们发现使用WoundWand能够轻松地从手部和手指等精细部位削除坚硬的焦痂。
作者得出结论，该设备的新用途，特别是在手指背部和手部等精细部位，相对于现有方法具有一些优势。进一步的临床研究可能会增加烧伤外科医生的手术器械。
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