Results of Fasciotomy and LipoPGE1 in the Treatment of Electrical Burn

Journal of the Korean Society for Surgery of the Hand 2008;13(4):304-310.
Published online December 1, 2008.

Hyun-Soo Park, Young-Soo Jang, Byung-Hoon Lee

전기화상치료에서의 근막절개술과 LipoPGE1의 사용결과

박현수, 장영수, 이병훈

Abstract

Purpose
The treatment choice of compartment syndrome in high voltage injury is early fasciotomy, repeated debridement, and early primary closure, which can decrease the rate of amputation. Prognosis of electrical burn is affected by early treatment method. Materials and Methods: 440 patients those who had been taken early faciotomies from January, 1996 to December, 2007, we analyze retrogradly about the descent of amputation rate. Those patients were divided into two groups that one group of patients taken early faciotomy in 8 hours after injury, and not. we analyze timing of fasciotomy and the rate of amputation. We used LipoPGE1(EglandinR) 10ug/day for improvement of peripheral vascular supply. Results: The amputation rate was reduced in patient group taken in 8 hours after injury and those prescribed PGE1. Also early fasciotomy and PGE1 using simultaneously did synergistic effect. Fasciotomy by “Minimal midline curved incision technique” and using PGE1 help improvement vascular supply and early reconstruction technique using free flap lead to better functional recovery. Conclusion: In compartment syndrome by electrical burn, early fasciotomy in 8 hours after injury and using PGE1 can reduce the rate of amputation remarkably. Early free flap operation that cover surgical wound come out better prognosis and functional recovery than conventional treatment.