[Treatment of perianal burns with submerged skin particles]

Perianal burn wounds often cannot be cured by conventional split-thickness skin grafting procedures. This is due to the mechanical stress and the enormous bacterial colonization. Transplantation of small skin pieces, submerged into the granulation tissue, is able to produce small epithelial islands within 2 weeks. These enlarge continuously and produce complete epithelialisation in the further course. Own results with 7 burn patients prove that this technique is suitable to epithelialize gluteal and perianal problem wounds with comparatively little expenditure.