title: Burn surgery.
abstract: The challenges posed by thermal injury often are daunting emotionally and physically for the survivor, family, and staff. Morbidity and mortality have improved with advances in emergent and multidisciplinary care; the establishment of dedicated burn centers; and increased education, prevention, and experience. The role of surgery in the treatment of these complex injury patterns continues to evolve, incorporating refined concepts of tissue preservation, wound bed preparation, and early attention to functional and esthetic parameters. Societal reintegration, psychosocial support, and new pain control strategies have dramatically improved the quality of life for our patients during and after the acute course of care. With improved survivability and a changing demographic, fundamental reconstructive surgical principles have found increased applicability and are instituted at the time of admission whenever possible.
authors.affiliation: Division of Plastic and Reconstructive Surgery, UC San Diego Medical Center, 200 West Arbor Drive, MC 8890, San Diego, CA 92103, USA. m.tenenhaus@sbcglobal.net
authors.forename: Mayer
authors.initials: M
authors.lastname: Tenenhaus
authors.forename: Hans Oliver
authors.initials: HO
authors.lastname: Rennekampff
mesh_terms: D001684:Biological Dressings; D002056:Burns / Q000601:surgery*; D002921:Cicatrix; D003646:Debridement; D004750:Enteral Nutrition; D006801:Humans; D009752:Nutritional Status; D010288:Parenteral Nutrition; D011584:Psychology; D017768:Skin, Artificial