Deep-dermal burn sustained from operative Lighting: A case report

• Published in: Burns open : an international open access journal for burn injuries Vol. 8; no. 2; pp. 112 - 114
• Main Authors: Mohamed, D., Lafford, G., Hobbs, S., Athanasiadou, M.
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01-04-2024; Elsevier
• Subjects: Burn; Complications; Iatrogenic; Operative lighting; Reconstruction; Burn; Reconstruction; Operative lighting; Iatrogenic; Complications
• ISSN: 2468-9122; 2468-9122
• DOI: 10.1016/j.burnso.2024.02.004

Surgical luminance (also known as operative lighting) allows for adequate visualisation of the operative field, a necessity for delivering safe surgery. Light-emitting diode (LED) surgical luminance systems are widely used in modern medicine.
We present a case of a 59-year-old male patient who sustained an iatrogenic burn from operative lights during an emergency vascular bypass revision procedure. According to the author's literature review, this is the first documented case of a burn of this nature to be reported in the United Kingdom.
This report highlights an unusual mechanism of sustaining a cutaneous burn intra-operatively by LED lighting. We aim to highlight a potential safety hazard related to using standard operative lighting equipment.
We present a thorough review of the patient's progression from the point of injury to definitive treatment, including follow-up.
In this case report, we conclude that the surgical operative lights caused the burn. The burn was a mixed depth, deep-dermal and partial-thickness burn in the suprapubic area that was exposed to the operative lights. This required surgical excision and reconstruction with a split-thickness skin graft which healed well with 100% graft take.
Operating lights, although regarded safe, have the potential to cause significant cutaneous injury. Increased awareness and education are required to ensure safe practices.