
Zydus Hospital in Ahmedabad treated 300+ patients with burns over 50% of body surface area, achieving a 90% survival rate using advanced grafting and multidisciplinary care.
Zydus Hospital in Ahmedabad's burns and plastic surgery department has treated more than 300 patients with burns covering over 50% of total body surface area (TBSA) in the past five years, recording a survival rate above 90%, the hospital said. The unit, led by senior plastic surgeon Dr. Girish Amlani, manages a mix of industrial accidents, domestic injuries, and mass-casualty cases from across Gujarat.
Severe burns – those crossing 30% TBSA – require intensive care, and the hospital's burn ICU, run by Dr. Pratibha Dileep and Dr. Chintan Dhebar, focuses on airway management, fluid balance, and infection control. The first three days are the most critical. "Eventually our attention shifts to reassessing antibiotic dosing, and we send blood samples weekly to screen for infection, and change IV lines as needed," said Dr. Chintan.
A recent case involved a 40-year-old police officer who arrived with burns across 65% of his body, affecting his chest, arms, legs, and back. He was hospitalized for two months and readmitted for skin grafting. Dr. Girish used an electric dermatome to harvest thin, uniform skin layers from a donor site, then passed them through a meshing device that expanded each sheet three to six times its original size. The technique allowed a small area of healthy skin to cover wounds spanning much of the body. Perforations in the graft double as drainage channels, preventing fluid buildup that can cause graft failure.
Infection and fluid pooling are the two leading causes of graft failure, according to the hospital. A tightly controlled isolation setup at Zydus helped reduce both risks. Central line insertions are replaced weekly, and blood transfusions become a recurring need as burn size increases. Albumin is used to manage fluid shifts and swelling.
Pediatric burn cases bring their own urgency. A 3-year-old girl who fell into hot water sustained burns across 30% of her body and spent 10 days in the pediatric ICU before moving to the ward. Dr. Girish also cited a pregnant woman with six-month amenorrhea and 60% burns, whom the team treated successfully. "We could save her and her baby, and they both are doing really well," he said.
A significant share of the patients arriving at Zydus need electrical or chemical burn treatment, driven by Gujarat's industrial and chemical manufacturing base. Electrical burns are especially deceptive: surface damage often looks minor, while the real injury runs deep along the current's path. High-voltage current can cause severe internal swelling that cuts off blood flow to muscles, and severe muscle injury may lead to acute kidney injury. These cases require collaboration between critical care physicians, nephrologists, and surgeons. Upper airway burns from smoke inhalation may present as only 5–10% burns but can cause respiratory failure. Intubation is technically demanding and handled only by experienced physicians working with the anaesthesia team.
The team – including Dr. Jalpa Mehta and Dr. Priyanshu Makwana – has treated tens of thousands of burn patients. The hospital's burn unit has established a multidisciplinary approach that includes intensivists, pain management specialists, physiotherapists, and psychologists. Rehabilitation continues long after wounds heal.
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