Case Report and Review of the Literature: Human Amniotic Membrane in the Management of Burn Wounds

Abstract

High-voltage electrical burns often have a deeper extent and cause more damage to surrounding soft tissue than injuries caused by fire burns or scalds. For the treatment of burn injuries there are dressings, dermal analogues, temporary skin substitutes; which favor the re-epithelialization of the wound bed, accelerating the healing process and some of them having specific properties. We present a case of a 41-year-old man who suffered high-voltage electrical burns on the face, neck, thorax, abdomen, upper limbs, and lower limbs. He underwent surgical cleaning at the day of his hospital admission, 7 days later a second surgical cleaning was performed with placement of human amniotic membrane in thoracic and abdominal burns. 10 months after the burn, the patient presents complete recovery of his burn injuries, hyperchromic scars with no evidence of pathological healing. As neurological sequelae, he presented polyneuropathy secondary to electrocution. We conclude that the amniotic membrane is an excellent substitute for temporary skin, useful for promoting the epithelialization of bloody areas from burns and reducing the local inflammatory response. Conclusion: The comparison between robotic-assisted liver surgery and laparoscopic surgery shows that the average medical cost was higher in robotic surgery when compared to laparoscopic liver cancer.