DOI: 10.21276/sasjs.2017.3.12.7

Pages: 330-334

Background: Burn injuries to the genitalia and perineum are usually the result of a child spilling hot liquid on themselves. Deep perineal burns are usually associated with either large total body surface area (TBSA) flame burns or immersion injury. In the management of these contractures various surgical methods ranging from simple release and split skin grafting and multiple Z plasties. Materials and Methods: This is prospective and descriptive study conducted in the Department of Surgery at a tertiary care teaching hospital over a period of 6 months after approval of ethical clearance. All patients were subjected to surgery under general anaesthesia and the following operative procedures were performed: (1) release of contracture with split thickness skin grafting (2) release of contracture and closure by multiple Z-plasties. Results: Maximum number of patients were female 23 (76.3%) and male 7 (23.3%) in present study. In 76.6% of the patients, post burn contractures of the groin and perineum were because of Open chulla. Other less common causes were hot water (10.0%). In our study of 30 patients two types of operative procedures were performed: (1) release of contracture with split thickness skin grafting; (2) release of contracture and closure by multiple Z-plasties. Moreover, 14 (46.6%) patients having bilateral groin contractures underwent release of contracture with split thickness skin grafting. 13 (43.3%) patients underwent release of unilateral groin contracture with split thickness skin grafting and 2 (6.6%) patients underwent release of unilateral groin contracture and closure by multiple Z-plasties. 1 (3.3%) patients with perineal contracture only underwent release of contracture with split thickness skin grafting. Conclusion: Functional outcome was satisfactory in 93.3% patients; their squatting, walking, gait, and movements of the hip joints were improved and patients were able to perform all day to day activities of life and essential that require