Objectives The purpose of the presentation is to report the efforts and the combination of techniques for the treatment of a deep burn with an area of 40% TBSA in a patient with a pregnancy in the 17th week of evolution. Methods We present the case of a 30-year-old patient, with a 40% TBSA burn by flame, located on the face, cervical posterior, right thoracic limb, posterior and internal face of the left arm, dorsal face of the left hand, both thighs and calves circular. The patient was 17 weeks pregnant with a viable fetus. A combination of surgical and non-surgical techniques is used for treatment: applying negative pressure to the burning areas of IIA and partially IIB to stimulate vascularization and seal the burned wound to avoid contamination. Serial excision of the burn areas and covering them with skin micrografts using the Meek technique, to avoid harvesting large areas and massive bleeding. The evolution of the pregnancy was monitored during the hospitalization by the obstetrician. Results The use of negative pressure kept the burned wound uncontaminated, the micrografts reduced the area of skin needed to cover the remaining skin defects after excision. The patient was discharged after 53 days of hospitalization, cured and with a pregnancy with viable fetus. Conclusions The combination of surgical and non-surgical techniques, the reduction of blood loss during surgery, a good collaboration between the plastic surgeon, the anesthesiologist and the obstetrician led to a good result in the case of a 40% TBSA burn, as well as a good evolution of the pregnancy.

P.041 Tips and tricks in the treatment of a burn with a large surface and depth associated with an evolving pregnancy

Dear friends and colleagues,

We will be pleased to welcome you in Turin (Italy) for the 19th European Burns Association´s Congress in 2022. Italy is honored to hold the meeting of the European Burns Association for the second time, after Verona in 1995. Turin is easily reachable from everywhere in Europe, either travelling by car, train or choosing flight connections. During the meeting, held in the renewed industrial center of the main Italian historical automotive factory (i.e. Lingotto-FIAT), we will meet international burn specialists, focusing on standards of care, progresses in burn treatment, strategies to face disaster situations, with a special attention to education of younger colleagues. However, in your spare time, you might enjoy the sweet days of Italian late summer, simply wandering in the green parks and gardens along the two rivers which cross the city, or you might decide to discover the numerous art galleries, churches, palaces, libraries, walking across elegant squares and large boulevards, passing through centuries of art and history; finally, you may choose to immerse yourself in some of the most exciting museum experiences, such as the Cinema Museum and the Turin’s Egyptian museum.

Looking forward to seeing you all in Turin for the 19th European Association´s Congress in 2022!
Maurizio Stella, Congress President, Turin Burn Centre