CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(02): 303-305
DOI: 10.1055/s-0040-1716310
Ideas and Innovations

The “Safdarjung Method” of Estimation of Total Body Surface Area (TBSA) Burns in Major Amputees

Neha Chauhan
1  Plastic Surgery, Chinmaya Mission Hospital, Indiranagar, Bengaluru, India
Karoon Agrawal
2  Cleft, Hypospadias & Plastic Surgery, National Heart Institute, India
Shalabh Kumar
3  Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung Hospital, Delhi, India
› Author Affiliations
Financial Disclosures None.


Accurate estimation of total body surface area (TBSA) burns is the cornerstone of initiating correct fluid therapy in burns. The current formulae are designed for patients with intact body. However, the authors having worked at a high-volume burns center (Safdarjung Hospital, New Delhi, India) have encountered patients with major amputations presenting with burns. The existing formulae are inaccurate for estimating TBSA in major amputees, leading to inaccurate fluid estimation in such cases. The authors have designed a novel method to estimate TBSA burns in patients with major amputations that involves a “correction factor” to account for the amputated parts.

Publication History

Publication Date:
30 August 2020 (online)

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