Extracorporeal shock waves, a new non-surgical method to treat severe burns

A. Arnó, O. García, I. Hernán, J. Sancho, A. Acosta, J. P. Barret

    Research output: Contribution to journalArticleResearchpeer-review

    46 Citations (Scopus)

    Abstract

    Extracorporeal shock wave treatment (ESWT) increases perfusion in ischaemic tissues, stimulates growth factors, decreases inflammation and accelerates wound healing. It is a safe technique classically used in urology and orthopaedic surgery with success, but there is still limited literature regarding its use in the management of burns. Purpose: The aim of this study is to analyse the effect of ESWT on deep partial/full thickness burns in patients attended at our emergency burn unit. Materials and methods: We performed two ESWT sessions in 15 patients with <5% TBSA (total body surface area) deep partial/full thickness burns, on the third and fifth day after injury; prior to each session, we used laser Doppler imaging (LDI). Results: Of all treated burns, 80% healed uneventfully prior to 3 weeks; as many as 15% required surgical debridement and grafting and 5% developed hypertrophic scarring. After one ESW session, burns had a significant increase in perfusion, objectivated by the LDI images. Conclusions: Extracorporeal shock wave therapy emerges as a new non-invasive, feasible, safe and cost-effective method in deep partial/full thickness burns. It may decrease the need of surgery and therefore the morbidity of the patient. There is a strong need for more studies to establish the optimal timing and dosage of treatment. © 2009 Elsevier Ltd and ISBI.
    Original languageEnglish
    Pages (from-to)844-849
    JournalBurns
    Volume36
    Issue number6
    DOIs
    Publication statusPublished - 1 Sep 2010

    Keywords

    • Acoustic energy
    • Deep partial/full thickness burns
    • Extracorporeal shock wave therapy
    • Shock waves

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