Perineal burns: Epidemiology, severity factors, management issues and outcome. Issue 2 (April 2022)

• Record Type: Journal Article
• Authors: Baba, P Umar Farooq; Shah, Raheeb Ahmad; Rasool, Altaf; Kaul, Ankush; Wani, Adil Hafeez
• Is Part Of: Burns open. Volume 6:Issue 2(2022)
• Page Start: 97
• Page End: 104
• Publication Date: 2022-04
• Subjects: Perineal burns -- Genital burns -- Penile/scrotal burn -- Vulval burn -- Pediatric burn -- Kangri burn; Burns and scalds -- Treatment -- Periodicals; Burns and scalds -- Periodicals; Burns and scalds -- Prevention -- Periodicals; Burns and scalds -- Patients -- Rehabilitation -- Periodicals; Burns and scalds -- Nursing -- Periodicals; Burns; Periodicals; Electronic journals; 617.11005
• DOI: 10.1016/j.burnso.2022.03.003
• Languages: English
• ISSNs: 2468-9122

Abstract

Highlights: The real incidence of perineal burns is much higher. Firepot burns/ hot-air blower burns, with full-thickness burns, are not infrequent in colder places. The extent of the total burn area, rather than perineal injury, reflects the severity, Perineal burns can act as predictor for the need for ICU care and mortality in the adults. Psychological support is necessary during inpatient management and during the rehabilitation phase. Psychosocial rehabilitation may prove particularly fruitful in sexually active persons. Abstract: Background: Perineal burns have a direct bearing on the quality of life with physical, functional, sexual, and psychological ramifications. These are defined as major burns requiring referral to a burn centre for management. Isolated genital burns are unusual, and are typically seen as part of larger burns with longer hospital stays and high morbidity and mortality. Materials and methods: The study was conducted in the Department of Plastic Surgery and Burns (SKIMS), Srinagar, India from 2016 to 2020. Results: 10.1% of patients (51/503) qualified as perineal burns. The average age was 16.92 ± 45.18 years with a male to female ratio of 3:1. 59% of patients were of the pediatric group and 60% of them were scalds, while flame burns predominate (71.4%) in the adults. 13% were caused by firepot/hot-air blower. The average percentage of body surface area involved was 38.40 ± 114. Most burns were second-degree superficial (70.6%). Intensive Care Unit (ICU) admission was required in 21.6% of patients. Surgery was required in 17.6% of cases. The mortality rate was 21.6%. Conclusions: The real incidence of perineal burns might be much higher than reported. They act as a predictor for the need for ICU care and mortality in the adult population. Firepot/hot air blower causing full-thickness burns are not infrequent in colder places; so, these hold a promising position when dispensing preventive measures. Conservative management has excellent results.