chapter  4
34 Pages

Assessment, Operative Planning and Surgery for Burn Wound Closure

Introduction.................................................................................................................. 19 Anatomy.........................................................................................................................20 Pathophysiology.............................................................................................................20 Eschar............................................................................................................................. 21 Assessment of the Burn Wound...................................................................................21 Initial Management of the Burn Wound....................................................................23 Burn Wound Healing.................................................................................................... 24 Treatment Planning...................................................................................................... 25 Management of Superficial Partial Thickness Wounds............................................25 Management of Deep Partial Thickness Injury (Small and Large).........................27 Full Thickness Injury .................................................................................................... 28 Mixed Depth Injury...................................................................................................... 31 Surgical Planning-Anatomical Factors....................................................................31 Management and Grafting of Anatomical Areas.......................................................31 Surgery............................................................................................................................ 34 Techniques of Wound Excision .................................................................................... 37 Xenografts and Other Biological Dressings............................................................... 40 Skin Substitutes.............................................................................................................. 40 Cultured Epithelial Autograft (C E A )......................................................................... 43 Skin Graft Take.............................................................................................................. 44 Graft Maturation...........................................................................................................45 Surgical Complications................................................................................................. 50 Summary ........................................................................................................................51