EARLY EXCISION AND GRAFTING VERSUS CONSERVATIVE TREATMENT IN THE MANAGEMENT OF MAJOR BURNS: A COMPARATIVE STUDY

Dr Kinkar Munian; Prof Dr Utpal Kumar Bit; Dr Warke Ameya Vasudeo

Volume : VIII, Issue : X, October - 2019

EARLY EXCISION AND GRAFTING VERSUS CONSERVATIVE TREATMENT IN THE MANAGEMENT OF MAJOR BURNS: A COMPARATIVE STUDY

Dr Kinkar Munian, Prof Dr Utpal Kumar Bit, Dr Warke Ameya Vasudeo

Abstract :

Background : Full thickness burns lose their eschar in 2–6 weeks through bacterial collagenase production and daily mechanical deidement1. 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 is surgical removal of eschar with grafting techniques. Methods: A total of 50 patients divided in 25 patients in each group were included first group was managed conservatively and second underwent early excision and grafting within 5th day upto 10% TBSA. Results: Early excision and grafting patients required significantly (p=0.04) more blood transfusions than conservatively managed patients. The mean 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 deidement but required more blood transfusions than conservatively managed patients.