Articles: surgery.
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Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1989
[Serial excision of large surface burn scars].
Serial excisions of large defined burn scars often improve the aesthetic appearance as well as reduce subjective complaints such as itching and sensory disturbance. The natural elasticity of undamaged skin allows stepwise excision of areas up to the size of a hand. Ideally, a linear scar the length of the original scar area results. Shrinkage, contour and pigment deficiencies, often seen after skin grafting, are not a problem.
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Malignant hyperthermia is a seemingly rare genetic myopathy. Hypermetabolic crisis accompanied by a rise in body temperature to as high as 44 degrees C is its hallmark. Malignant hyperthermia is usually triggered by potent inhalated anesthetics and/or depolarizing muscle relaxants. ⋯ The contracture study was positive in all patients studied. No anesthetic or surgical complications were encountered. This study demonstrates that patients at risk of developing malignant hyperthermia crisis can have plastic surgical procedures performed safely while undergoing appropriately selected general anesthesia.