A retrospective analysis of early excision and skin grafting from 1993–1995

Chamania, Shobha; Patidar, G.P.; Dembani, Baldev; Baxi, Mukta

doi:10.1016/s0305-4179(97)00117-4

Cited by 24 publications

(8 citation statements)

References 7 publications

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“…22 In a study that profoundly impacted on the care of burns patients, she demonstrated that early excision of all wounds within the first 3-5 days of injury, followed by grafting, reduced infection rates and improved survival compared with conservative management using topical antimicrobials plus excision in the second or third week. Other clinicians went on to confirm these findings (see, e.g., [23][24][25][26] and to identify the groups of patients who would be most likely to benefit. There is some doubt about the benefits of this approach in the very elderly, 27 and Caldwell et al 28 suggested that early harvesting of donor sites might be a more significant factor than early excision in the survival of patients with large burns.…”

Section: Does Debridement Really Work?mentioning

confidence: 99%

Toward a common language: surgical wound bed preparation and debridement

Granick

Boykin

Gamelli

et al. 2006

Wound Repair Regeneration

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Wound management encompasses a number of disciplines. As new concepts and innovative technologies develop within this exciting field, it is important to share them in spite of the divergence of clinical perspectives between the expert disciplines. One such divergence exists between surgeons and nonsurgical wound specialists. As a result, there is a need to develop a common language between these two groups. How can we develop a common language that unites surgical expertise within medical wound management? One route may be through the principles of wound bed preparation, which we believe have great potential for the communication of effective surgical techniques. Another is through sharing our concepts of surgical debridement as it is applied to different wounds by a variety of surgical disciplines. In this monograph, we try to bring these two themes together. We discuss how wound bed preparation has added to our understanding of the pathophysiology of the nonhealing wound and has provided us with some general clinical concepts. We discuss what role debridement, and then specifically surgical debridement, has to play within wound bed preparation, before analyzing the importance of surgical debridement in tissue preservation and the control of infection. We finally look at ongoing work that examines the cost of various surgical debridement techniques. We will also review a new hydrosurgery system (VERSAJET, Smith and Nephew, Hull, UK), which we believe has an important role to play in the surgical preparation of the wound. We also expect that this paper will remind our medical colleagues about the critical role played by surgery in wound management.

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Section: Does Debridement Really Work?mentioning

confidence: 99%

Toward a common language: surgical wound bed preparation and debridement

Granick

Boykin

Gamelli

et al. 2006

Wound Repair Regeneration

View full text Add to dashboard Cite

show abstract

“…'Early closure' of burn wounds by excising the burned tissues and promptly covering it with skin-grafts or its substitutes within first 'five' post-burns day is the standard of care today. [1,2] and should ideally be offered to all minor burns and for the major burns who are admitted to a well-equipped burns centre. [3] In addition to improvement in the prognosis, early excision and grafting procedures have been shown to decrease the duration of hospitalization, incidence of metabolic complications, blood transfusion requirements, burn wound contamination, post burn contractures and cost of burn treatment.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Skin Grafting Procedure in Burnt Patients

Gore¹,

Gadhire²,

Jain³

2013

Skin Grafts

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“…It reduces infective complications, reduces mortality, shortens hospital stay, and improves functional outcome. [2223]…”

Section: Discussionmentioning

confidence: 99%

A clinico-epidemiologic study of 892 patients with burn injuries at a tertiary care hospital in Punjab, India

Gupta

Uppal

Garg

et al. 2011

J Emerg Trauma Shock

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Aim:To analyze the causes, demographic and socio-cultural aspects, and the magnitude of burn injuries prospectively and to evaluate the outcome of treatment of patients admitted to burns ICU of tertiary care hospital.Materials and Methods:A total of 892 burn patients admitted over a period of 6 years from January 2002 to December 2007 at tertiary care hospital in Punjab, India, were analyzed.Results:54% patients were males. A majority of the patients, 704(79%), were in the age group of 15-45 years. Six hundred and thirty-four patients (72%) sustained flame burns, while 17% and 7% sustained electrical and scald burns, respectively. A total of 470(53%) patients sustained major two to three degree flame burns involving more than 45% of total body surface area (TBSA). The mortality rate was 40%, i.e. 357 patients died of burns and its related problems, in our study. Six hundred and thirty-nine patients (72%) sustained burns in closed space of which 331 patients (52%) sustained burns in kitchen. Seven hundred and seventy-nine patients sustained accidental burns. Burn victims were mainly Hindus and Sikhs. The mean hospital stay varied depending upon the percentage of burns. On an average, a patient with > 45% TBSA burns received 15 whole blood transfusions. Split skin grafting was done in 416 patients. Most common complication encountered during their hospital stay was wound infection which was seen in 671 patients, followed by ARDS in 221 patients. The most common organisms causing wound infection were Pseudomonas and Acinetobacter.Conclusion:Developing country like India need an aggressive public education program so that people become more literate about various etiological factors causing burns and means of preventing them. Also needed are burn care hospitals which are easily accessible and affordable.

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A retrospective analysis of early excision and skin grafting from 1993–1995

Cited by 24 publications

References 7 publications

Toward a common language: surgical wound bed preparation and debridement

Toward a common language: surgical wound bed preparation and debridement

Evaluation of Skin Grafting Procedure in Burnt Patients

A clinico-epidemiologic study of 892 patients with burn injuries at a tertiary care hospital in Punjab, India

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