Surgical excision of the burn wound.
Early excision of the burn eschar has been one of the most significant advances in modern burn care. Historical advances in understanding of the pathophysiology of burn injury and the systemic inflammatory response fueled by the burn wound, and refinements in the techniques of tangential and fascial excision, have led to earlier excision and grafting of the burn wound with improvements in morbidity and mortality. Efforts to control blood loss, and good operative planning and attention to special areas, can lead to the safe excision and grafting of large burns.
Department of Surgery, Harborview Medical Center, University of Washington Regional Burn Center, Seattle, 98104, USA.
Michael J
MJ
Mosier
Nicole S
NS
Gibran
D001458:Bandages; D016063:Blood Loss, Surgical / Q000517:prevention & control; D002056:Burns / Q000601:surgery*; D005145:Face; D005835:Genitalia; D006225:Hand; D006801:Humans; D013997:Time Factors; D014945:Wound Healing; D014947:Wounds and Injuries / Q000601:surgery