Pediatric Third Degree Burn: Success

Patient Evaluation Information

For the purpose of patient and practitioner confidentiality, subject to regulations which cross international boundaries, personally identifiable characteristics have been truncated from this patient history.  

Patient Age:  3

Cause of Injury:  Accidental burn with domestic iron at patient residence

The patient was presented with third degree burns on the palm of his right hand, losing the continuity of the dermis.

Blood vessels, muscles and nerves were not compromised.

No sign of infection was detected, therefore scraping and cleansing took place in preparation for a skin graft.

Proposal

A proposal was made to apply SeraSeal® on the patient's hand where scraping had occurred to stop bleeding.  

The same procedure was repeated on the thigh, which was the donor site.  

The treatment plan was discussed with three guest doctors with the intent of developing a research protocol

Process

The process started with the preparation of the patient, anesthetizing him assuring the attending physician that the procedure was ready to commence.  

SeraSeal® was applied on the burnt palm, with bleeding stopped immediately.

The bright red characteristic color change visibly demonstrated SeraSeal® acting.  

 

   

   

 

Process (Continued)

The skin graft was then donated from the right thigh using the electric dermatome.  This wound bled profusely.

SeraSeal® was applied via sprayer, and the bleeding stopped immediately after application and within 8 seconds.  

Surgical staff was then able to apply the skin graft to the patient's hand.

 

  

  

 

Noticeable Improvements in Surgical Efficacy, Process and Efficiency

An important side note is that when skin grafts are secured with staples, bleeding universally occurs.

On this occasion, there was none.

  1. SeraSeal® stopped post scrape bleeding.
  2. SeraSeal® reduced treatment time and theatre costs.
  3. SeraSeal® prevented staple bleeding.
  4. SeraSeal® created excitement and anticipation for future SeraSeal® use among doctors present.

Followup

Additional, relevant information was obtained upon patient followup.

Findings described as "incredible" were noticed from thigh donor area.

  1. The bandage had not adhered to the wound, as was the norm without the use of SeraSeal®.
  2. The patient did not show any sign of pain.
  3. The patient did not show any sign of swelling.
  4. The donor thigh wound had completely healed.
  5. Upon uncovering hand for evaluation, discovery of edges properly in place, ideal vascularity and perfect nutrition.
  6. No trace of infection was found and a success probability of 90% was declared after only one week.

Summary

The team was surprised by the results and concluded that SeraSeal® helped the recovery and accelerated the healing process of the donor area up to 4x norm.

Skin grafts of this type are notoriously difficult to keep in place, which affects vascular recovery due to clots that interrupt the process.

However, the most surprising fact was that the joint of the edges of this graft did not show signs of any slippage.

In the area in the middle of the hand, the continuity was lost due to the severity of the dermatome cut.

 

Second Followup

The patient's second scheduled followup was performed to monitor the progress of the skin graft.

The donor area had fully recovered with no sign of scarring.  

Doctors were impressed by results of SeraSeal® with this patient.

Hospital indicated consideration of SeraSeal® for teaching hospitals:

  1. Due to lowering hospital time for patient, thereby lowering cost.
  2. Improved patient recovery time.

 

  

  

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