Abstract
BackgroundThe pubic region is often involved in accidental hot water or soup-spill burns. Most of these wounds are superficial partial thickness burns. Due to their proximity to the urinary system, as well as vaginal and anal openings, these burns are easily contaminated. Daily dressings are routinely prescribed as the sole treatment. The cumbersome dressing process is uncomfortable and embarrassing for patients. Biobrane™ is a bilayered biosynthetic dressing. Its coverage of superficial partial thickness burns promotes wound healing and allows one-time application.Case presentationsWe report two patients who suffered superficial dermal burns over their pubic region. One patient had 23% total body surface area (TBSA) burns over her lower abdomen, both thighs and pubic region. The second patient had 10% TBSA burns that involved her perineum and the medial sides of both thighs and buttocks. Both were managed with the standard resuscitation protocol in the initial phase. Their burn injuries were managed by shaving, Foley catheterization and Biobrane™ coverage. Their wounds healed uneventfully without complications. Full epithelization was achieved by post-operative day seven. Both patients consented to medical photography and academic publication.ConclusionShaving and catheterization improved the hygiene of the burns of the pubic area. The Biobrane™ method circumvents the need of regular dressing changes, eliminating the pain due to dressing changes and preserving patient dignity.
Highlights
The pubic region is often involved in accidental hot water or soup-spill burns
Shaving and catheterization improved the hygiene of the burns of the pubic area
The BiobraneTM method circumvents the need of regular dressing changes, eliminating the pain due to dressing changes and preserving patient dignity
Summary
Pubic burns are commonly associated with upper thigh and lower abdominal wall burns. These burns are usually caused by accidental spills when patients are carrying a container of hot fluid. The initial assessment revealed 23% total body surface area (TBSA) superficial partial thickness burns involving the lower abdomen, bilateral thighs and pubic region including the mons pubis and labia majora (Fig. 1a). She was started on fluid resuscitation, and a urinary bladder catheter was inserted for monitoring of fluid balance. The clinical assessment showed a 10% TBSA partial thickness burn (mixture of superficial to mid dermal burns) involving the supra-pubic region, bilateral anterior thighs, perineum and bilateral buttocks and the labia majora and minora (Fig. 2a).
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