• Clin Plast Surg · Oct 2009

    Review

    Surgical excision of the burn wound.

    • Michael J Mosier and Nicole S Gibran.
    • Department of Surgery, Harborview Medical Center, University of Washington Regional Burn Center, Seattle, 98104, USA.
    • Clin Plast Surg. 2009 Oct 1;36(4):617-25.

    AbstractEarly excision of the burn eschar has been one of the most significant advances in modern burn care. Historical advances in understanding of the pathophysiology of burn injury and the systemic inflammatory response fueled by the burn wound, and refinements in the techniques of tangential and fascial excision, have led to earlier excision and grafting of the burn wound with improvements in morbidity and mortality. Efforts to control blood loss, and good operative planning and attention to special areas, can lead to the safe excision and grafting of large burns.

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