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Ann R Coll Surg Engl. 2012 Nov;94(8):e232-4. doi: 10.1308/003588412X13373405387212.

Management of iatrogenic full thickness electrical burn in a preterm neonate using W-plasty technique combined with a median sternotomy incision.

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  • 1Birmingham Children's Hospital NHS Foundation Trust, 19 Old Oak Road, Birmingham B38 9AJ, UK. elizabeth_chipp@hotmail.com


Burns in the neonatal period are rare and most commonly due to iatrogenic causes. We report a case of a preterm neonate who sustained a full thickness electrical burn following the use of a temporary pacing pad. The case was complicated by significant co-morbidities and the need for cardiac surgery. We describe the surgical management of the case, using excision and closure in the form of a W-plasty. We discuss the reasons for this surgical decision and the importance of managing complex cases such as this on an individual basis.

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