Pediatric limb salvage after severe thermal injury
K.N. Partain,
D. Noffsinger,
R.K. Thakkar,
R. Fabia
Affiliations
K.N. Partain
Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United States; Corresponding author.
D. Noffsinger
Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United States; Burn Program, Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United States
R.K. Thakkar
Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United States; Burn Program, Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United States
R. Fabia
Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United States; Burn Program, Department of Pediatric Surgery, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, United States
Fourth-degree burns represent a significant challenge due to the exposure of delicate tissues (i.e., neurovascular structures, bones, joints) and complications (i.e., infection and graft loss). In addition to the typical challenges of significant tissue loss associated with fourth-degree burns, this is the first case report to describe a large-volume lymphatic leak of the extremity. We treated the lymphatic leak with bowel rest, parenteral nutrition, Octreotide, collagen matrix, and negative-pressure vacuum-assisted closure (V.A.C.®) therapy.
