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Thanks to improved resuscitation and improvised wound care techniques in burns management during the last few decades, because mortality from burns has considerably reduced for these reasons. Many studies have emphasized on advantages of early intervention and skin grafting in managing full thickness second degree and third degree burns. But this involves creation of another raw area at the donor site and also the resultant scar at the burns area will not have admirable cosmetic results. The aim of our study is management of full thickness second degree burns by tangential excision of the dead tissue, but without skin grafting, that will provide both satisfactory cosmesis and successful functional results. Our study explains a surgical treatment in deep second degree burns, where importance is emphasized on early sequential tangential excision of dead tissue and to rely upon the sweat glands and pilo-sebaceous complex that are present in the subcutaneous tissue for reepidermalisation of the burns wound. The result of this study encourages maximized cosmesis and function in burns patients.

A Prospective Study of Skin Resurfacing to Maximise Cosmesis and Function in Full Thickness Second Degree Burns