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Year : 2013  |  Volume : 21  |  Issue : 1  |  Page : 64-66

Influence of skin grafts on oxidation-reduction processes in elderly and old people with deep burns

Burn Department of RSCUMA, Republican Research Centre of Emergency Medicine, Samarkand State Medical Institute, Samarkand, Uzbekistan

Correspondence Address:
Bokhodir X Karabaev
2 Nor Yakubov proezd 3, Samarkand, Uzbekistan

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-653X.121886

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Introduction: Severe burns in the elderly have a much higher mortality in comparison to the younger population. The most complicated problem in burn therapy is in the treatment of patients with deep burns especially those who are elderly. Aim and Methodology: To study the different surgical treatments and test the intermediary metabolism in elderly deep burns admitted to our unit over a period of 11 years including patients from 1999 to 2009. Results: In our burn center in Uzbekistan, skin grafts were performed in 356 patients (age range, 60-92 year) with deep burns (107 in the early post-burn period of 7-15 days, plus 249 over granulating wounds). Skin grafts in extensive burns were performed in 32 patients for the purpose of achieving early closure of the burn area. In these 32 cases, a stamp graft procedure was used in 17 patients and Moule-Jackson method of skin grafting in 15 cases. Testing intermediary metabolism indicators in 102 patients before and after free skin grafting provided interesting findings. We identified common scenarios of elderly patients, which helped in treatment.

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