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Related Experiment Videos

Burn wound excision and local flap closure.

F N Gahhos, S Ariyan, C B Cuono

    Annals of Plastic Surgery
    |June 1, 1985
    PubMed
    Summary

    Immediate excision and closure using local flaps is an effective treatment for full-thickness burns. This surgical approach offers ideal management for deep burns, promoting wound healing and minimizing complications.

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    Area of Science:

    • Plastic Surgery
    • Burn Management
    • Reconstructive Surgery

    Background:

    • Full-thickness burns require prompt and effective surgical intervention.
    • Local flaps offer a reconstructive option for burn defects.

    Observation:

    • Eleven circumscribed, full-thickness burns in 9 patients were treated.
    • Surgical techniques included immediate excision and primary closure or local flap reconstruction.
    • Burns were located on the face, trunk, and extremities.

    Findings:

    • Various local cutaneous flaps (advancement, V-Y, Moberg, S-plasties) were utilized.
    • Excision and closure timing ranged from 2 hours to 2 weeks post-injury.
    • No postoperative wound infections were reported.

    Implications:

    • Primary excision and closure with local tissue flaps represent an ideal treatment for selected deep burns.
    • This technique is feasible and beneficial across various body locations.
    • Facilitates subsequent skin grafting for larger wounds when applied to smaller, contralateral burns.

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