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Year : 2014  |  Volume : 22  |  Issue : 1  |  Page : 43-50

Topical heparin versus conventional treatment in acute burns: A comparative study

Department of Plastic Surgery, Burns and Reconstructive Microsurgery, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, Jammu and Kashmir, India

Correspondence Address:
Muhsin Masoud
Department of Plastic Surgery, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, Jammu and Kashmir
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-653X.147002

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Background: In order to alleviate pain, reduce scarring, and to improve the overall outcome in burn patients multitude of novel agents are being utilized. In this regard, heparin has been introduced because of its research proven role in burn wound management. Objective: The objective was to evaluate, whether the addition of heparin, administered only topically, could improve burn treatment. Materials and Methods: The subjects in this study were 40 consecutive burn patients with 10-20% burns, randomly allocated to heparin group (H-group) (20) and control group (C-group) (20). Results: All patients in the H-group were receiving analgesics on demand only from the 2 nd week onwards. This was in contrast to the C-group wherein 35% patients received twice daily dosage of analgesics in the 2 nd week of their treatment. When compared to the average hospital stay of 18.3 days in the C-group, patients belonging to the H-group had an average hospital stay of 12.3 days (P < 0.05). Conclusions: The current comparative study demonstrates that heparin significantly decreases the requirement of analgesics and the time required to prepare a burn wound for grafting. Besides as compared to silver sulfadiazine dressings, heparin appears to be cost-effective.

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