Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore, Singapore.
University of Auckland, Faculty of Medical and Health Sciences, Auckland, New Zealand.
Mil Med Res. 2018 Aug 26;5(1):29. doi: 10.1186/s40779-018-0177-2.
The pubic region is often involved in accidental hot water or soup-spill burns. Most of these wounds are superficial partial thickness burns. Due to their proximity to the urinary system, as well as vaginal and anal openings, these burns are easily contaminated. Daily dressings are routinely prescribed as the sole treatment. The cumbersome dressing process is uncomfortable and embarrassing for patients. Biobrane™ is a bilayered biosynthetic dressing. Its coverage of superficial partial thickness burns promotes wound healing and allows one-time application.
We report two patients who suffered superficial dermal burns over their pubic region. One patient had 23% total body surface area (TBSA) burns over her lower abdomen, both thighs and pubic region. The second patient had 10% TBSA burns that involved her perineum and the medial sides of both thighs and buttocks. Both were managed with the standard resuscitation protocol in the initial phase. Their burn injuries were managed by shaving, Foley catheterization and Biobrane™ coverage. Their wounds healed uneventfully without complications. Full epithelization was achieved by post-operative day seven. Both patients consented to medical photography and academic publication.
Shaving and catheterization improved the hygiene of the burns of the pubic area. The Biobrane™ method circumvents the need of regular dressing changes, eliminating the pain due to dressing changes and preserving patient dignity.
阴部经常会意外被热水或热汤烫伤。这些伤口大多是浅Ⅱ度烧伤。由于靠近泌尿系统以及阴道和肛门开口，这些烧伤很容易被污染。常规的治疗方法是每天更换敷料。但这种繁琐的换药过程会给患者带来不适和尴尬。Biobrane™是一种双层生物合成敷料。它可以覆盖浅Ⅱ度烧伤创面，促进伤口愈合，并可一次性应用。
我们报告了两名阴部浅Ⅱ度烧伤的患者。其中一名患者下腹部、双侧大腿及阴部的总体表烧伤面积为 23%；另一名患者会阴部及双侧大腿和臀部的烧伤面积为 10%。两名患者均在初始阶段采用标准复苏方案进行治疗。她们的烧伤创面均采用剃毛、 Foley 导管置入和 Biobrane™覆盖进行处理。伤口愈合顺利，无并发症。术后第 7 天，创面完全上皮化。两名患者均同意进行医学摄影和学术发表。
剃毛和导尿改善了阴部烧伤的卫生状况。Biobrane™方法避免了频繁更换敷料，减轻了因更换敷料引起的疼痛，同时保护了患者的尊严。
