Surgery on burns sequelae in developing countries.

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State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_588CFC37EA4B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Surgery on burns sequelae in developing countries.
Journal
Annals of burns and fire disasters
Author(s)
El Ezzi O., Dolci M., Dufour C., Bossou R., de Buys Roessingh A.
ISSN
1592-9558 (Print)
ISSN-L
1592-9558
Publication state
Published
Issued date
31/03/2017
Peer-reviewed
Oui
Volume
30
Number
1
Pages
47-51
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The purpose of this study is to analyze the effectiveness of surgery and follow-up of children operated on for burn sequelae. For many years, we have organized two missions per year to Benin and Togo, one for surgery and one for follow-up. We analyzed the files of children born in Africa and victims of burns from the years 2002 to 2011. Children were referred through a non-governmental organization (NGO) and assessed in Africa by local paediatricians before and after surgery. Treatment consisted in operating on burn sequelae such as contractures, hypertrophic scars and hard cords. Impaired mobility was our only indication for the operation. We kept a database on all patients. Sixty files were reviewed, of which fifty were deemed suitable for analysis. The most common methods of surgery were skin grafting and Z-plasty. There were no complications, such as infection or graft/flap necrosis after immediate surgery. Long-term follow-up revealed a recurrence of hypertrophic scarring (47%), retractions (24%) and hard cords (2%) due to a lack of occupational therapy and physiotherapy treatment. Partnership with an NGO and a local team allows us to treat children with burn injury sequelae in Western Africa. A continued and often long-lasting follow-up by occupational therapists and physiotherapists is highly mandatory in order to guarantee good long-term results. In 2010, we initiated local rehabilitation therapy.
Pubmed
Create date
22/06/2017 20:11
Last modification date
22/04/2020 6:19
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