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Intraoperative burn from a grounding pad of electrosurgical device during breast surgery: A CARE-compliant case report.

Abstract Burns at the site of the return electrode (i.e., grounding pad) are possible effects of electrosurgery. Despite this knowledge, however, ignorance or negligence with regards to proper handling of the grounding pads still often occurs. Burn injuries can be easily prevented by taking the necessary precautions; thus, during plastic surgery, careful attention should to be paid.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29505504
OWN - NLM
STAT- MEDLINE
DCOM- 20180309
LR  - 20180309
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 1
DP  - 2018 Jan
TI  - Intraoperative burn from a grounding pad of electrosurgical device during breast 
      surgery: A CARE-compliant case report.
PG  - e8370
LID - 10.1097/MD.0000000000008370 [doi]
AB  - RATIONAL: Burns at the site of the return electrode (i.e., grounding pad) are
      possible effects of electrosurgery. Despite this knowledge, however, ignorance or
      negligence with regards to proper handling of the grounding pads still often
      occurs. Burn injuries can be easily prevented by taking the necessary
      precautions; thus, during plastic surgery, careful attention should to be paid.
      PATIENT CONCERNS: A 38-year-old female patient was admitted to our ward to be
      performed augmentation mammoplasty. Before the start of the procedure, the
      grounding pad was placed on the surgical table and the left calf of the patient
      was placed on the grounding pad. Before using the endoscope, we found a burn on
      patient's left calf, where the grounding pad had been placed. DIAGNOSIS: It was a
      3-cm-by-3-cm-sized full thickness burn. The surrounding areas had no painful
      sensation with noninfectious sign. INTERVENTION: Debridement and direct closure
      was performed with elliptical incision of eschar. OUTCOMES: The patient did not
      require additional surgical procedure anymore and satisfied with the scar.
      LESSONS: Through this case, we present the appropriate management of electrical
      burns from a grounding pad, and emphasize the understanding of the mechanism of
      burn because of electrosurgery, and how to use the grounding pad optimally to
      minimize the patient's risk.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Bae, Hahn-Sol
AU  - Bae HS
AD  - Department of Plastic and Reconstructive Surgery, Seoul National University
      Boramae Medical Center.
FAU - Lee, Mu-Young
AU  - Lee MY
AD  - SM plastic surgery, Seoul, Republic of Korea.
FAU - Park, Ji-Ung
AU  - Park JU
AD  - Department of Plastic and Reconstructive Surgery, Seoul National University
      Boramae Medical Center.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Burns/*etiology
MH  - Electrosurgery/*instrumentation
MH  - Female
MH  - Humans
MH  - Intraoperative Complications/*etiology
MH  - Mammaplasty
EDAT- 2018/03/06 06:00
MHDA- 2018/03/10 06:00
CRDT- 2018/03/06 06:00
PHST- 2018/03/06 06:00 [entrez]
PHST- 2018/03/06 06:00 [pubmed]
PHST- 2018/03/10 06:00 [medline]
AID - 10.1097/MD.0000000000008370 [doi]
AID - 00005792-201801050-00001 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jan;97(1):e8370. doi: 10.1097/MD.0000000000008370.