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Combustion and high pressure spray injury
Published in Peter Houpt, Hand Injuries in the Emergency Department, 2023
Small burns can be treated conservatively with paraffin tulle gras. Larger burns should be covered with Flammazine or Flammacerium. Significant burns deserve the attention of a hand surgeon. An escharotomy should be considered in case of circular burns. If the burn to the hand is part of a large burn, then referral to a burns center is indicated.
Burns
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
The most basic dressings aim to absorb exudate and keep the wound dry, e.g. paraffin gauze or tulle gras (named after Tulle, France, a region famous for making nets), which may be impregnated with various antiseptics/antibiotics: Jelonet (plain paraffin gauze) vs. Mepitel® (non-adherent silicone net dressing)Bactigras® (0.5% chlorhexidine)Xeroform® (3% bismuth tribromophenate)Sofratulle® (framycetin)
Conservative treatment
Published in Ken Myers, Paul Hannah, Marcus Cremonese, Lourens Bester, Phil Bekhor, Attilio Cavezzi, Marianne de Maeseneer, Greg Goodman, David Jenkins, Herman Lee, Adrian Lim, David Mitchell, Nick Morrison, Andrew Nicolaides, Hugo Partsch, Tony Penington, Neil Piller, Stefania Roberts, Greg Seeley, Paul Thibault, Steve Yelland, Manual of Venous and Lymphatic Diseases, 2017
Ken Myers, Paul Hannah, Marcus Cremonese, Lourens Bester, Phil Bekhor, Attilio Cavezzi, Marianne de Maeseneer, Greg Goodman, David Jenkins, Herman Lee, Adrian Lim, David Mitchell, Nick Morrison, Andrew Nicolaides, Hugo Partsch, Tony Penington, Neil Piller, Stefania Roberts, Greg Seeley, Paul Thibault, Steve Yelland
Non-adherent gauze impregnated with paraffin (Tulle Gras®) or an antiseptic or antibiotic (Jelonet®, Sofra-Tulle®) reduces wound adhesion and provides a moist environment, but it does not absorb exudate, requires a secondary dressing and may induce allergy.
A novel treatment for CI extrusion with vacuum-assisted closure device
Published in Cochlear Implants International, 2021
Celeste Ann Chua, Jiun Fong Thong, Siti Radhziah Binte Sudirman
The patient was subsequently reviewed outpatient with two further V.A.C dressing changes over a week before being admitted into hospital again for pneumonia. Covid-19 swab test, a panel screen for respiratory viruses and blood cultures were negative. She was treated with one week of intravenous aztreonam and vancomycin. During her inpatient stay, the wound defect was noted to be epithelising well and decision was made to discontinue V.A.C dressing on Day 29. The wound defect was Dressed with PROMOGRAN™ Matrix, covered with Tulle Gras and a non-adhesive breathable dressing.
Recent strategic approach in postburn extremity scars and contractures
Published in Journal of Plastic Surgery and Hand Surgery, 2021
Percin Karakol, Mehmet Bozkurt
Upper extremities were immobilized with a splint and donor sites were closed with nonadhesive dressings (Epigard®, Biovision GmbH, Wiesbaden, Germany). The NPWT dressings were removed at postoperative day 3, and re-dressing was performed by changing the closure apparatus. On postoperative day 6, the grafts were covered with chlorhexidine acetate tulle gras dressings (Bactigras®, Smith&Nephew Medical Ltd, Hull, England, UK) and saline-soaked sponges. The splints were left in place for two weeks following the surgery.