Role of Topical Heparin in Treatment of Burn at Tertiary Care Hospital in Western Rajasthan

Topical Heparin in Treatment of Burn

  • Dharmveer Jajra Assistant Professor, Department of General Surgery, Sardar Patel Medical College, Bikaner, Rajasthan, India
  • Sanjay Lodha Resident, Department of General Surgery, Sardar Patel Medical College, Bikaner, Rajasthan, India
  • Ashok Kumar Associate Professor, Department of General Surgery, Sardar Patel Medical College, Bikaner, Rajasthan, India
  • Diwan Singh Jakhar Assistant Professor, Department of General Surgery, Sardar Patel Medical College, Bikaner, Rajasthan, India
  • Joginder Singh Resident, Department of General Surgery, Sardar Patel Medical College, Bikaner, Rajasthan, India
Keywords: Burns, Topical Heparin, Efficacy

Abstract

Background: Heparin is a multifaceted compound with uses not only as an anticoagulant, but also as an anti-inflammatory, anti-allergenic, anti-histaminic, anti-serotonin, anti-proteolytic and neoangiogenic agent. The aim of the study was to study the effect of topical heparin in the management of burns in terms of morbidity, mortality & safety.Subjects and Methods:A hospital based RCT with total duration of 16 months from June, 2018 to September, 2019 with 100 patients (age between 15-45 years, burns from 20-60%, with less than 48 hours duration), randomly enrolled into 2 groups, after initial resuscitative measures, 50 cases receiving Topical Heparin treatment, 50 controls receiving conventional treatment (1% silver sulphadiazine) with i.v. antibiotics, after explaining the study objectives and taking informed written consent. Data analysis was performed using Epi Info software.Results:Patients treated with topical heparin experienced statistically significant (p<0.05) improved pain relief, rapid healing, lesser complications and reduced duration of hospital stays.Conclusion:The current study demonstrates that topical heparin can improve clinical outcomes in the treatment of burn injury.

Published
2020-05-29