TY - JOUR
T1 - Treatment of the burned hand
T2 - Early surgical treatment (1975-85) vs. conservative treatment (1964-74). A comparative study
AU - Mahler, D.
AU - Benmeir, P.
AU - Ben Yakar, Y.
AU - Greber, B.
AU - Sagi, A.
AU - Hauben, D.
AU - Rosenberg, L.
AU - Sarov, B.
PY - 1987/1/1
Y1 - 1987/1/1
N2 - Our experience with early tangential excision and grafting for burns of the hands is presented. The advantages of the early surgical approach are proven by comparing this technique with the 'old' conservative treatment in two different populations. It is clearly concluded that early excision and grafting, combined with adequate physiotherapy and pressure garments, offer favourable results for the burned hand. Early excision of the burn eschar, before the appearance of contamination, may prevent infection, long and unfavourable delay in healing, scar formation with its incapacitating sequellae and a non-aesthetic appearance. Such a delay was characteristic of the 'conservative period', which was dominated by 'fibroblast', 'good granulation tissue', and hypertrophic scarring. Early surgery, as described and advocated here, shortens the healing time, lessens the hospital stay, minimizes reconstructive surgery and leads to a good functioning hand with a reasonable aesthetic appearance, enabling the affected patient to return quickly to work and normal routine life.
AB - Our experience with early tangential excision and grafting for burns of the hands is presented. The advantages of the early surgical approach are proven by comparing this technique with the 'old' conservative treatment in two different populations. It is clearly concluded that early excision and grafting, combined with adequate physiotherapy and pressure garments, offer favourable results for the burned hand. Early excision of the burn eschar, before the appearance of contamination, may prevent infection, long and unfavourable delay in healing, scar formation with its incapacitating sequellae and a non-aesthetic appearance. Such a delay was characteristic of the 'conservative period', which was dominated by 'fibroblast', 'good granulation tissue', and hypertrophic scarring. Early surgery, as described and advocated here, shortens the healing time, lessens the hospital stay, minimizes reconstructive surgery and leads to a good functioning hand with a reasonable aesthetic appearance, enabling the affected patient to return quickly to work and normal routine life.
UR - http://www.scopus.com/inward/record.url?scp=0023155119&partnerID=8YFLogxK
U2 - 10.1016/0305-4179(87)90255-5
DO - 10.1016/0305-4179(87)90255-5
M3 - Article
C2 - 3548908
AN - SCOPUS:0023155119
SN - 0305-4179
VL - 13
SP - 45
EP - 48
JO - Burns
JF - Burns
IS - 1
ER -