Open AccessEARLY EXCISION AND GRAFTING VERSUS CONSERVATIVE TREATMENT IN THE MANAGEMENT OF MAJOR BURNS: A COMPARATIVE STUDY
Author(s) -
Kinkar Munian,
Utpal Kumar Bit,
Warke Ameya Vasudeo
Publication year - 2019
Publication title -
international journal of scientific research
Language(s) - English
DOI - 10.36106/3204532
Subject(s) - eschar , medicine , surgery , debridement (dental) , grafting , conservative treatment , skin grafting , conservative management , blood transfusion , chemistry , organic chemistry , polymer
Background :1Full thickness burns lose their eschar in 2-6 weeks through bacterial collagenase production and daily mechanical debridement .The practice of leaving these dead tissues only serves as a nidus for infection that can lead to the patient's death. Hence the standard procedure issurgical removal of eschar with grafting techniques.Methods:Atotal of 50 patients divided in 25 patients in each group were included first group was managed conservatively and second underwentth early excision and grafting within 5 day upto 10% TBSA.Results: Early excision and grafting patients required significantly (p=0.04) more blood transfusions than conservatively managed patients. Themean hospital stay was significantly (p=0.05) lower by 10 days in early excision and grafting than conservatively managed.Conclusion : Early Excision and Grafting group was found to have significantly shorter hospital stay with decresed painful debridement butrequired more blood transfusions than conservatively managed patients.