Management of post burn groin contracture: a case account

Authors

  • Naveen Narayan Department of Plastic and Reconstructive Surgery, Adichunchanagiri Institute of Medical Sciences, BG Nagara, Karnataka, India http://orcid.org/0000-0001-7125-5842
  • Suhas Narayanaswamy Gowda Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, BG Nagara, Karnataka, India
  • Ajay Nagraj Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, BG Nagara, Karnataka, India
  • Abhigna Madhu Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, BG Nagara, Karnataka, India
  • Vishnu Venugopal Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, BG Nagara, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20214027

Keywords:

Post burns contracture, Groin contracture, Contracture release, Flap

Abstract

Similar to burns of the face, hands, and feet, groin and perineal burn injuries result in physical as well as psychosocial scarring for the patient. It often results in loss of functionality which is usually out of proportion to the percentage of burns. Hence, these burns are classified as major burns. Direct injury to the genitalia can lead to sexual dysfunction. In such circumstances, the treatment plan should comprehensively look into even psychosocial aspects of the patient. Both functional and cosmetic appearance should be the primary concern. With scarcely available burns unit and dedicated hospitals in India to treat burns, patients often develop severe contractures without proper post burns care. Most of the burn patients end up being treated by staff without special training in burn care. A variety of surgical procedures in post burn contractures of groin and perineum have been described all aimed to achieve satisfactory functional and cosmetic outcome. However, advantages of long-term care with regular physiotherapy, use of pressure garments, and massaging with emollient creams should not be overlooked and cannot be overemphasized. We present such a case of a young female with poor post burns care which resulted in post burn contracture of the groin and perineal area and had to endure with inconveniences. Patient was treated in our department adequately.

Author Biographies

Naveen Narayan, Department of Plastic and Reconstructive Surgery, Adichunchanagiri Institute of Medical Sciences, BG Nagara, Karnataka, India

Associate Professor, Plastic and Reconstructive Surgery

Suhas Narayanaswamy Gowda, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, BG Nagara, Karnataka, India

Assistant Professor, Department of General Surgery

Ajay Nagraj, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, BG Nagara, Karnataka, India

Post Graduate, Department of General Surgery

Abhigna Madhu, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, BG Nagara, Karnataka, India

Post Graduate, Department of General Surgery

Vishnu Venugopal, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, BG Nagara, Karnataka, India

Post Graduate, Department of General Surgery

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Published

2021-09-28

Issue

Section

Case Reports