Using a 3D tool to document and determine graft loss: A mini-review and case report

• Accurate determination of burn wound size and areas of debridement and graft loss is challenging.
• BurnCase 3D was used to assess burn and monitor all surgical interventions.
• We calculated areas of graft loss and graft take throughout the acute hospitalization.
• Preoperative planning for wound coverage and blood loss was performed using BurnCase 3D.

In severe burns, accurate determination of burn wound size and areas of debridement and graft loss is challenging. In this case report, we describe the use of 3D wound measurement software (BurnCase 3D, RISC Software GmbH, Hagenberg, Austria) in a 29-year-old patient with burns covering 92% of the total body surface area. BurnCase 3D was used to assess burn and monitor all surgical interventions. The software allowed us to calculate areas of graft loss and graft take throughout the acute hospitalization (until 90% of the wounds were covered with homografts). It also enabled preoperative planning for wound coverage and blood loss. Thus, BurnCase 3D appears to be a useful tool for accurate determination of burn wound areas and preoperative planning. However, whether the benefit of more efficient preoperative planning overcomes the disadvantage of the additional time needed to document the wound using the software needs to be evaluated further.