Treatment

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

bullet Acute Burn Sequel
Dressing
 
Silver sulphadiazine cream.
 
bullet
Vaseline betadine guaze.
  bullet Acticoat/Mepilex AG.
  bullet Collagen.
Surgeries
  bullet Early excision and skin grafting
  bullet Escharotomy
  bullet Fasciotomy
  bullet Amputation of Gangrenous part with Flap or graft (In case of electrical shock burn)
     
bullet Post Burn Sequel
Hypertrophic Scar
  bullet Tangential excision of scar and over grafting
  bullet Coconut oil massage
  bullet Tightening of crepe bandage
  bullet Pressure garment
  bullet Cica-care gel
  bullet Kenacort Injection
     
bullet Contracture
  bullet Microstomia release
  bullet Neck contracture
  bullet Eye ectropion
  bullet Axillary contracture
  bullet Web space contracture
  bullet Flexion contracture of MP joint and IP joint
  bullet Popliteal contracture
  bullet Ankle contracture
  bullet Ear reconstruction surgery
     
bullet Surgeries
  bullet Neck Contracture release
  bullet Skin grafting or Z plasty
  bullet Eye ectropion release with skin grafting
  bullet Axaillary contracture release with Z plasty,
  bullet Web space contracture release with Z Plasty
  bullet MP joint of hand contracture release with groin flap with K – wire
  bullet IP joint contracture of Hand release with capsulectomy with X Plasty with K wiring
  bullet Popliteal contracture release with X Plasty with STSG
  bullet Elbow contracture release with X Plasty with STSG
  bullet Tissue Expander
     
bullet Procedure
  bullet Dressing with Silversulphadiazine cream
  bullet Vaseline betadine gauze
  bullet Acticoat
  bullet

Central Venous Catheterization

  bullet

Tracheostomy, Catheterization

  bullet

Venisection

 
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