Therapeutics
of Surgical Excision and Skin Grafting Therapy
Surgical
excision and skin
grafting therapy is
established upon the premise that no effective method is available for
treating a series of postburn illness.
It is considered that the tissue in the zone of
stasis
of deep second-degree burns is doomed to a complicated and dangerous
progressive necrosis.
Additionally, it is assumed that wound with
necrosis of full-thickness dermis is unlikely to heal
spontaneously.
During the procedure of conservative repairing
treatment
for deep burns wounds,
infection, inflammation and other serious
complications may develop and become life-threatening, and
the
treatment result will be pathological.
Based upon the above consideration, a therapy was
established: First transform the burns
wound to a traumatic
wound via
surgical intervention and then perform the conventional burns treatment
in an attempt to increase survival rate.
In the clinic setting, the whole burned necrotic tissue
together with some viable dermis or subcutaneous tissue are removed,
creating a surgical wound of muscle layer over which a variety of
autografts are placed to close the wound.
Admittedly, this therapeutic option anticipates a
compromised and subop-timal result while striving mostly to save the
patient’s life.
This therapy is a purely surgical technique
and functions with disregard to burns physiology.
As a treatment, it resembles the treatment of a
gastric ulcer by surgical intervention – subtotal
gastrectomy.
Therefore, this therapy does not treat burns
tissue itself but constitutes simply a surgical therapy for treating muscle or deeper burns
rather than skin burns.
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