title: The dilemma of treating major burns in South Africa.
abstract: The major challenge facing South African burn surgeons is the current and future management of major burns. Survival is greatly dependent on adequate therapeutic measures. Various therapeutic measures can be instituted to overcome the shortage of donor skin, as we describe. Each of these methods has its specific role in the management of major burns. The use of very expensive and highly specialised techniques for individual patients cannot be justified when more accessible and cost-effective methods are available. To serve the greater population of burn victims, every effort should be made to use these available methods rather than channelling scarce financial resources into procedures that have a very limited role in South Africa.
authors.affiliation: Red Cross War Memorial Children's Hospital and the University of Cape Town, South Africa. heinz.rode@uct.ac.za.
authors.forename: H
authors.initials: H
authors.lastname: Rode
authors.forename: A
authors.initials: A
authors.lastname: Rogers
authors.forename: S
authors.initials: S
authors.lastname: Adams
authors.forename: W
authors.initials: W
authors.lastname: Kleintjes
authors.forename: L
authors.initials: L
authors.lastname: Whitelock-Jones
authors.forename: A
authors.initials: A
authors.lastname: Muganza
authors.forename: N
authors.initials: N
authors.lastname: Allorto
mesh_terms: D002056:Burns / Q000191:economics / Q000209:etiology / Q000401:mortality / Q000628:therapy; D019468:Disease Management; D006301:Health Services Needs and Demand; D006801:Humans; D020380:Needs Assessment / Q000191:economics; D017063:Outcome Assessment, Health Care; D013019:South Africa; D016019:Survival Analysis; D014019:Tissue Donors / Q000600:supply & distribution; D014184:Transplantation, Homologous / Q000379:methods; D058106:Wound Closure Techniques / Q000191:economics*; D014945:Wound Healing