title: Management of iatrogenic full thickness electrical burn in a preterm neonate using W-plasty technique combined with a median sternotomy incision.
abstract: 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.
authors.affiliation: Birmingham Children's Hospital NHS Foundation Trust, 19 Old Oak Road, Birmingham B38 9AJ, UK. elizabeth_chipp@hotmail.com
authors.forename: E
authors.initials: E
authors.lastname: Chipp
authors.forename: H
authors.initials: H
authors.lastname: Duncan
authors.forename: R
authors.initials: R
authors.lastname: Papini
mesh_terms: D002058:Burns, Electric / Q000209:etiology / Q000601:surgery*; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D005260:Female; D006327:Heart Block / Q000151:congenital / Q000628:therapy; D006801:Humans; D007049:Iatrogenic Disease; D007231:Infant, Newborn; D007234:Infant, Premature; D056346:Sternotomy / Q000379:methods*