Surgery News - August 2008 - (Page 13) AUGUST 2008 • SURGERY NEWS PEDIATRIC SURGERY 13 Burn Patients Heal Quickly With Biobrane BY DOUG BRUNK Thoracoscopic Hernia Repair Is Viable B Y M I C H E L E G . S U L L I VA N Else vier Global Medical Ne ws Else vier Global Medical Ne ws S A N D I E G O — Use of Biobrane wound dressing in pediatric burn patients resulted in a short hospital stay and follow-up as an outpatient with few complications, results from a single-center study demonstrated. Researchers reviewed the medical charts of 116 pediatric burn patients aged 0-18 years who received Biobrane dressing at the University Hospital trauma center in San Antonio between 2002 and 2007. Biobrane (Bertek Pharmaceuticals) is a synthetic nylon mesh that is bonded to silicone and coated with collagen peptides. It functions as an analogue to the dermis and its pores allow exudate to be drained. It has been shown to be a reasonable option in children, Dr. Cristiane M. Ueno said at the annual meeting of the Wound Healing Society. The dressing “usually can be trimmed away after 1 week as the wound heals, decreasing the healing time compared with some other dressings,” Dr. Ueno of the University of Texas Health Science Center at San Antonio, said in a later interview. The average age of patients was 5 years, males outnumbered females 2:1, and 68% were Hispanic. In all, 52% of cases were scald injuries and 70% of the patients had second-degree burns. Of the 116 patients who received Biobrane dressing, 58 had sustained burns to the upper extremity. More than two-thirds were admitted to the hospital for only 1-2 days for dressing care and instruction on care of the injury. Only seven complications occurred from the use of Biobrane, including one case of bacteremia, two cases of local infection, two cases of cellulitis, and two cases of fever, said Dr. Ueno at the meeting, held in conjunction with a symposium on advanced wound care. Dr. Ueno had no conflicts to disclose. ■ P H O E N I X — Thoracoscopic repair of congenital diaphragmatic hernia is feasible, safe, and effective, according to a review of 29 thoracoscopic repairs. Dr. David Cho presented the study at the annual meeting of the American Pediatric Surgical Association. Dr. Cho, of Oregon Health and Science University, Portland, compared 28 children from 2001 to 2004, when the hospital did only open repair, to 29 children from 2004 to 2007, after it instituted thoracoscopic repair. At baseline, the only significant difference was the use of extracorporeal membrane oxygenation (7% of thoracoscopic patients vs. 29% of the open group). Mean operative time was significantly longer for thoracoscopic repair (180 vs. 116 minutes), but intraoperative use of vasopressors was significantly higher in the open group (64% vs. 10%). There were no significant betweengroup differences in length of hospital stay, number of days on a ventilator, time to first postop feed, or additional procedures. The overall complication rate was 55% among thoracoscopic patients and 71% in the open group. There were two postoperative deaths in the thoracoscopic group and six in the open group. Both differences were nonsignificant. Thoracoscopic repair had more recurrences (six vs. two), but Dr. Cho attributed the difference to a dearth of longer-term follow-up data for the open group. ■ American College of Surgeons 94th annual Clinical Congress October 12–16, 2008: San Francisco, CA Moscone Convention Center Save the Date! The burn was cleaned with chlorhexidine and then bullae were removed. Join us in San Francisco for the 94th annual Clinical Congress. As always, it will be an educational opportunity you won’t want to miss! PHOTOS COURTESY DR. CRISTIANE M. UENO Please be sure to visit www.facs.org in the coming months for more details regarding the educational program, registration, housing, and transportation. A Biobrane glove has been placed over the child’s hand. http://www.facs.org http://www.facs.org
Table of Contents Feed for the Digital Edition of Surgery News - August 2008 Surgery News - August 2008 Contents The 20/20 Vision: Making Amends News From the College: Dedicated Effort Opinion: NOTESworthy? Pediatric Surgery: Burn Remedy Surgery News - August 2008 Surgery News - August 2008 - Contents (Page 1) Surgery News - August 2008 - Contents (Page 2) Surgery News - August 2008 - Contents (Page 3) Surgery News - August 2008 - Contents (Page 4) Surgery News - August 2008 - Contents (Page 5) Surgery News - August 2008 - The 20/20 Vision: Making Amends (Page 6) Surgery News - August 2008 - The 20/20 Vision: Making Amends (Page 7) Surgery News - August 2008 - News From the College: Dedicated Effort (Page 8) Surgery News - August 2008 - News From the College: Dedicated Effort (Page 9) Surgery News - August 2008 - News From the College: Dedicated Effort (Page 10) Surgery News - August 2008 - News From the College: Dedicated Effort (Page 11) Surgery News - August 2008 - Opinion: NOTESworthy? (Page 12) Surgery News - August 2008 - Pediatric Surgery: Burn Remedy (Page 13) Surgery News - August 2008 - Pediatric Surgery: Burn Remedy (Page 14) Surgery News - August 2008 - Pediatric Surgery: Burn Remedy (Page 15) Surgery News - August 2008 - Pediatric Surgery: Burn Remedy (Page 16)
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