Early tangential excision and skin grafting as a routine method of burn wound management: an experience from a developing country

M. Prasanna, K. Singh, P. Kumar

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

This study assessed the feasibility of performing early tangential excision and skin grafting for burn wounds 'routinely' in a developing country. An analysis of mortality, morbidity and hospital stay was carried out for 90 burns patients with deep partial skin loss burns out of 202 admissions, who underwent 'early' tangential excision and skin grafting. Overall survival rate was 86.5 per cent. Children below 14 years of age with burns ≤ 40 per cent TBSA (total body surface area) had no mortality, 93.5 per cent of adult patients with burns ≤ 60 per cent TBSA survived in contrast to those with burns of > 60 TBSA per cent who all died. Morbidity for contractures and hypertrophic scars was nil to minimal. The mean hospital stay for adult patients with major burns was 30 days, with minor burns it was 18.7 days. We conclude that in developing countries, early tangential excision and skin grafting can and should be done routinely for all minor burns and for the major burns who are admitted to a well-equipped burns centre, but not for very 'extensive burns', until biological skin substitutes are more readily available.

Original languageEnglish
Pages (from-to)446-450
Number of pages5
JournalBurns
Volume20
Issue number5
DOIs
Publication statusPublished - 01-01-1994
Externally publishedYes

Fingerprint

Skin Transplantation
Burns
Developing Countries
Wounds and Injuries
Body Surface Area
Length of Stay
Artificial Skin
Hypertrophic Cicatrix
Morbidity
Burn Units
Mortality
Feasibility Studies
Contracture
Survival Rate
Skin

All Science Journal Classification (ASJC) codes

  • Surgery
  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

Cite this

@article{05ac373ea2e44b399f12741bf12ff094,
title = "Early tangential excision and skin grafting as a routine method of burn wound management: an experience from a developing country",
abstract = "This study assessed the feasibility of performing early tangential excision and skin grafting for burn wounds 'routinely' in a developing country. An analysis of mortality, morbidity and hospital stay was carried out for 90 burns patients with deep partial skin loss burns out of 202 admissions, who underwent 'early' tangential excision and skin grafting. Overall survival rate was 86.5 per cent. Children below 14 years of age with burns ≤ 40 per cent TBSA (total body surface area) had no mortality, 93.5 per cent of adult patients with burns ≤ 60 per cent TBSA survived in contrast to those with burns of > 60 TBSA per cent who all died. Morbidity for contractures and hypertrophic scars was nil to minimal. The mean hospital stay for adult patients with major burns was 30 days, with minor burns it was 18.7 days. We conclude that in developing countries, early tangential excision and skin grafting can and should be done routinely for all minor burns and for the major burns who are admitted to a well-equipped burns centre, but not for very 'extensive burns', until biological skin substitutes are more readily available.",
author = "M. Prasanna and K. Singh and P. Kumar",
year = "1994",
month = "1",
day = "1",
doi = "10.1016/0305-4179(94)90040-X",
language = "English",
volume = "20",
pages = "446--450",
journal = "Burns",
issn = "0305-4179",
publisher = "Elsevier Limited",
number = "5",

}

Early tangential excision and skin grafting as a routine method of burn wound management : an experience from a developing country. / Prasanna, M.; Singh, K.; Kumar, P.

In: Burns, Vol. 20, No. 5, 01.01.1994, p. 446-450.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Early tangential excision and skin grafting as a routine method of burn wound management

T2 - an experience from a developing country

AU - Prasanna, M.

AU - Singh, K.

AU - Kumar, P.

PY - 1994/1/1

Y1 - 1994/1/1

N2 - This study assessed the feasibility of performing early tangential excision and skin grafting for burn wounds 'routinely' in a developing country. An analysis of mortality, morbidity and hospital stay was carried out for 90 burns patients with deep partial skin loss burns out of 202 admissions, who underwent 'early' tangential excision and skin grafting. Overall survival rate was 86.5 per cent. Children below 14 years of age with burns ≤ 40 per cent TBSA (total body surface area) had no mortality, 93.5 per cent of adult patients with burns ≤ 60 per cent TBSA survived in contrast to those with burns of > 60 TBSA per cent who all died. Morbidity for contractures and hypertrophic scars was nil to minimal. The mean hospital stay for adult patients with major burns was 30 days, with minor burns it was 18.7 days. We conclude that in developing countries, early tangential excision and skin grafting can and should be done routinely for all minor burns and for the major burns who are admitted to a well-equipped burns centre, but not for very 'extensive burns', until biological skin substitutes are more readily available.

AB - This study assessed the feasibility of performing early tangential excision and skin grafting for burn wounds 'routinely' in a developing country. An analysis of mortality, morbidity and hospital stay was carried out for 90 burns patients with deep partial skin loss burns out of 202 admissions, who underwent 'early' tangential excision and skin grafting. Overall survival rate was 86.5 per cent. Children below 14 years of age with burns ≤ 40 per cent TBSA (total body surface area) had no mortality, 93.5 per cent of adult patients with burns ≤ 60 per cent TBSA survived in contrast to those with burns of > 60 TBSA per cent who all died. Morbidity for contractures and hypertrophic scars was nil to minimal. The mean hospital stay for adult patients with major burns was 30 days, with minor burns it was 18.7 days. We conclude that in developing countries, early tangential excision and skin grafting can and should be done routinely for all minor burns and for the major burns who are admitted to a well-equipped burns centre, but not for very 'extensive burns', until biological skin substitutes are more readily available.

UR - http://www.scopus.com/inward/record.url?scp=0028147788&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028147788&partnerID=8YFLogxK

U2 - 10.1016/0305-4179(94)90040-X

DO - 10.1016/0305-4179(94)90040-X

M3 - Article

C2 - 7999276

AN - SCOPUS:0028147788

VL - 20

SP - 446

EP - 450

JO - Burns

JF - Burns

SN - 0305-4179

IS - 5

ER -