It is commonly known that patients of Burns die of infection and infection is due to dead tissue. Following this simple statement, globally the gold standard in the management of acute Burns is early excision and grafting. Surgery is undertaken with in 72-96 hours. All the dead skin is meticulously radically removed by early excision surgery and the wound is resurfaced with homograft (processed cadaver skin). After about 3 weeks, either the wound epithelizes completely or the deeper wound areas are auto grafted at this juncture.
Early excision and homografting has beenkey to successful management of Burns in almost all the Burn Centers around the globe. In India Dr. Sunil Keswani at National Burns centre has pioneered the technique of early excision and homografting (glycerol preserved cadaver skin from Skin bank). We are the only Burns Centre in India where patients routinelyundergo early excision and homografting surgery. Our in-house State-of-the-art Skin bank supplies the much needed high quality meshed homograft.
This new and first of its kind treatment methodology has proved extremely beneficial in improved clinical outcome and reducing the mortality and morbidity of extensive burns patients.
Surgery in Burns
Acute Burn Sequel
Silver sulphadiazine cream.
Vaseline betadine guaze.
Early excision and skin grafting
Amputation of Gangrenous part with Flap or graft (In case of electrical shock burn)
Post Burn Sequel Hypertrophic Scar
Tangential excision of scar and over grafting
Coconut oil massage
Tightening of crepe bandage
Web space contracture
Flexion contracture of MP joint and IP joint
Ear reconstruction surgery
Neck Contracture release
Skin grafting or Z plasty
Eye ectropion release with skin grafting
Axaillary contracture release with Z plasty,
Web space contracture release with Z Plasty
MP joint of hand contracture release with groin flap with K – wire
IP joint contracture of Hand release with capsulectomy with X Plasty with K wiring
Popliteal contracture release with X Plasty with STSG