Using Integra® Dermal Regeneration Template in Electrical Burn Injury Defect Reconstruction – a Case Report

  • Marko Jović Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia
  • Branko Suđecki Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia https://orcid.org/0000-0001-5898-5912
  • Biljana Ćertić Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia
  • Jelena Isaković Subotić Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia
  • Milana Jurišić Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia https://orcid.org/0000-0002-3209-5214
  • Milana Marinković Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia https://orcid.org/0000-0001-7885-467X
  • Prof. Milan Jovanović, MD, PhD Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia
  • Milan Stojičić Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia https://orcid.org/0000-0002-4545-4335
  • Jelena Jeremić Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia https://orcid.org/0000-0001-8297-0243
DOI: https://doi.org/10.5937/medi57-48275
Keywords: Electrical Burn Injuries, Foot Defect, Integra® Dermal Regeneration Template, Skin Graft

Abstract


Introduction: Electrical burn injuries present a major public health issue in industrialized countries, and unlike electrical arc flash burns often result in deeper and more extensive injuries, especially in hands and feet.  When choosing from the range of reconstructive modalities, prompt coverage of exposed defects is imperative, offering patients a better functional and cosmetic outcome. Patient review: A 26-year-old male was admitted into our facility’s Burns Unit following a high-voltage electrical burn injuries sustained on the same day.  After several debridement sessions, the left foot was left with a 100 square centimeter dorsal surface defect with the involvement of ankle joint region. The defect was covered using Integra® Dermal Regeneration Template (IDRT) with a 100% success rate both with the template and later split-thickness skin graft (STSG) application. No perioperative complications were reported, with satisfactory cosmetic and functional results at the 6-month follow-up appointment. Conclusion: IDRT can be considered a good surgical choice for effective defect coverage with satisfactory results. Nevertheless, the final outcome and patient recovery also often depend on multitude of other factors, such as the defect size and the involvement of underlying structures.

Author Biographies

Marko Jović, Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia

Head of the OR block

Biljana Ćertić, Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia

Head of the Burns Unit

Prof. Milan Jovanović, MD, PhD, Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia

Head of the Clinic.

Plastic Surgery Course Director.

Jelena Jeremić, Clinic for Burns, Plastic and Reconstructive Surgery, University Clinical Center of Serbia

Head of the Plastic Surgery Department

Published
2024/09/10
Issue
Vol. 57 No. 3 (2024): Medicinska istraživanja
Section
Članci