- Chapter 1 Incidence and epidemiology
- Chapter 2 Burn prevention
- Chapter 3 Pathophysiological response to burns
- Chapter 4 Hypermetabolic response to burns
- Chapter 5 The burns management pathway I: assessing and transferring patients with an acute burn injury
- Chapter 6 The burns management pathway II: receiving and initially managing a patient with burns
- Chapter 7 Predicting mortality and end of life care
- Chapter 8 Burns first aid
- Chapter 9 Assessment of burn surface area
- Chapter 10 Burn depth assessment
- Chapter 11 Fluid resuscitation in burns
- Chapter 12 Escharotomies
- Chapter 13 Critical care of burns patients
- Chapter 14 Anaesthesia: preoperative management of patients with acute burns
- Chapter 15 Anaesthesia: intraoperative management of patients with acute burn injury
- Chapter 16 Burns surgery
- Chapter 17 Burn wound dressings
- Chapter 18 Management of burn wound infection
- Chapter 19 Chemical burns
- Chapter 20 Electrical injuries
- Chapter 21 Radiation burns
- Chapter 22 Ocular burns
- Chapter 23 Hand burns
- Chapter 24 Perineal and genital burns
- Chapter 25 Skin substitutes
- Chapter 26 Occupational and physiotherapy
- Chapter 27 Outcome measures for burns
- Chapter 28 Burns scar management
- Chapter 29 Principles of burn reconstruction
- Chapter 30 Burn contracture surgery
- Chapter 31 Outpatient management of minor burns
- Chapter 32 Remote assessment of burns
- Chapter 33 Cost of burn care
- Chapter 34 Paediatric burns
- Chapter 35 Non-accidental injury (NAI) in children
- Chapter 36 Burns itch
- Chapter 37 Nutritional requirements in the burn patients
- Chapter 38 Tetanus
- Chapter 39 Desquamating skin disorders
- Chapter 40 Military burns
- Chapter 41 Sunburn and artificial tanning
- Chapter 42 Frostbite
- Chapter 43 Hair restoration
- Chapter 44 Laser management of scars
- Chapter 45 Face transplantation
- Chapter 46 Pain management
- Chapter 47 Burn care drug formulary
(p. 131) Burns surgery
- Chapter:
- (p. 131) Burns surgery
- Author(s):
Sarah Bache
and Peter George Dziewulski
- DOI:
- 10.1093/med/9780199699537.003.0016
This chapter summarizes common methods of surgical management of acute burn injuries in the modern era. It discusses the rationale for surgical excision and the considerations that must be taken into account before embarking on an operation. Descriptions of equipment commonly used, and the techniques employed are detailed, with an emphasis on those used for burn excision and wound closure. As the commonest method of wound closure following excision is with skin grafts, these are examined in further detail. Finally, a brief guide to the surgical management of specific burns of varying sizes and depths is given.
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- Chapter 1 Incidence and epidemiology
- Chapter 2 Burn prevention
- Chapter 3 Pathophysiological response to burns
- Chapter 4 Hypermetabolic response to burns
- Chapter 5 The burns management pathway I: assessing and transferring patients with an acute burn injury
- Chapter 6 The burns management pathway II: receiving and initially managing a patient with burns
- Chapter 7 Predicting mortality and end of life care
- Chapter 8 Burns first aid
- Chapter 9 Assessment of burn surface area
- Chapter 10 Burn depth assessment
- Chapter 11 Fluid resuscitation in burns
- Chapter 12 Escharotomies
- Chapter 13 Critical care of burns patients
- Chapter 14 Anaesthesia: preoperative management of patients with acute burns
- Chapter 15 Anaesthesia: intraoperative management of patients with acute burn injury
- Chapter 16 Burns surgery
- Chapter 17 Burn wound dressings
- Chapter 18 Management of burn wound infection
- Chapter 19 Chemical burns
- Chapter 20 Electrical injuries
- Chapter 21 Radiation burns
- Chapter 22 Ocular burns
- Chapter 23 Hand burns
- Chapter 24 Perineal and genital burns
- Chapter 25 Skin substitutes
- Chapter 26 Occupational and physiotherapy
- Chapter 27 Outcome measures for burns
- Chapter 28 Burns scar management
- Chapter 29 Principles of burn reconstruction
- Chapter 30 Burn contracture surgery
- Chapter 31 Outpatient management of minor burns
- Chapter 32 Remote assessment of burns
- Chapter 33 Cost of burn care
- Chapter 34 Paediatric burns
- Chapter 35 Non-accidental injury (NAI) in children
- Chapter 36 Burns itch
- Chapter 37 Nutritional requirements in the burn patients
- Chapter 38 Tetanus
- Chapter 39 Desquamating skin disorders
- Chapter 40 Military burns
- Chapter 41 Sunburn and artificial tanning
- Chapter 42 Frostbite
- Chapter 43 Hair restoration
- Chapter 44 Laser management of scars
- Chapter 45 Face transplantation
- Chapter 46 Pain management
- Chapter 47 Burn care drug formulary