A paradigm shift in practice—the benefits of early active wound temporisation rather than early skin grafting after burn eschar excision

A critical review of early burn excision and grafting

Demetrius A Miminas is a Post-graduate MSc Student in Wound Healing and Tissue Repair, Wound Healing Research Unit, Cardiff, and Trust-grade Plastic Surgeon, Russells Hall Hospital, Dudley Group of Hospitals NHS Trust, Dudley Early excision and grafting of burn wounds has largely replaced the conservative, non-excisional approach, due mainly to improvements in resuscitation and the introduction...

Early Marjolin's Ulcer after Minimal Superficial Burn

Accumulative eschar after burn

Eschar formation is a potential sequela of burn injuries. Definitive management may include escharectomy and eschar debridement. After eschar removal, the wound can be covered with a skin graft or reepithelialization. For prolonged refractory eschar on the fingertips, topical use of rb-bFGF after debridement can achieve an optimal outcome.

early excision and grafting versus delayed skin grafting in burns covering less than 15% of total body surface area; a non-randomized clinical trial

objective: to compare outcome of patients with burns covering less than 15% of total body surface area(tbsa) undergoing early excision and grafting or delayed skin grafting. method : this was a non-randomized clinical trial including 54 patients with less than 15% tbsa burn referring to ghotboddin hospital of shiraz. they were assigned to two study groups, each group including 27 patients: the ...

Immunosuppression following excision of burn eschar and syngeneic grafting in major thermal trauma.

Recent reports have suggested that very early excision (less than 24 hours post-burn) and primary closure of burn wounds might circumvent the immunosuppression which follows severe thermal trauma. The total body surface are (TBSA) involved in burn injuries of human subjects at risk for significant post-burn immunosuppression is large enough to require grafting. In the present study cell-mediate...