The human body has many amazing properties, the most important of which is the ability to protect itself from the effects of harmful environmental factors. Thermal damage is one of the most traumatic and dangerous injuries for a person, but with the coordinated work of all body structures when exposed to high temperature, a person reflexively tries to eliminate the source of damage, thus minimizing it. In such cases, the treatment of burns takes a short period of time and leads to maximum tissue recovery. But if the burn surface occupies a large area, and deeper layers of tissues are damaged? In such cases, plastic surgeons are involved in the treatment of burns.

Peculiarities of graft collection for burn treatment

The most effective treatment for deep burns today is a graft transplant. To close a large wound surface, a skin area is taken from the donor area, if necessary, with deeper tissues, & nbsp; and transplanted to the recipient area. Subject to all the necessary conditions, doctors in most cases manage to achieve effective engraftment of transplanted tissues. Proper selection of the graft makes it possible to achieve a good aesthetic effect. Read about the methods of surgical treatment of burns, as well as the features of graft sampling at estet-portal.com.

Burn treatment:

  • methods of surgical treatment of burns with deep injuries;
  • features of taking split grafts for the treatment of burns;
  • Peculiarities of taking full-thickness grafts for the treatment of burns.

Methods of surgical treatment of burns with deep injuries

Today, the main method of surgical treatment of extensive and deep burns is plastic with a split graft. If the patient has limited burns, especially on exposed areas of the body, such as the hands or face – burn wound  closed with a thick split or full-thickness graft. With deep burns in functional areas, for example, when joints, bones, tendons, nerves and blood vessels are exposed – The treatment of burns consists in the transplantation of skin-fatty, skin-muscle or muscle flaps cut in the vicinity of the burn wound. Combined grafting, flap grafting with axial circulation, and free flap grafting using microsurgical techniques are also widely used.

Peculiarities of taking split grafts for the treatment of burns

Treatment of burns with split grafts has its own characteristics, primarily associated with the specifics of harvesting such grafts. After choosing the surgical instruments and preparing the surgical field, it is necessary to properly prepare the donor area. This is done in several ways:

  • subcutaneous injection of saline with adrenaline into the donor area, after which a dense, even pad is formed, which greatly facilitates the process of taking the graft;
  • retraction of the skin graft along the dermatome, which makes it possible to avoid displacement and dips;
  • beating the donor area with an elastic rubber tourniquet for blood flow to it, after which it is much more convenient to take the graft.

Peculiarities of taking full-thickness grafts for the treatment of burns

In some cases, a full-thickness graft is necessary for the treatment of burns. It is produced with a scalpel along predetermined contours, which are previously removed from the recipient zone using a template. A skin incision is made to the subcutaneous fascia, then the graft is stretched along the length and separated from the donor bed. After taking the material, it is necessary to clean it from the remnants of subcutaneous fatty tissue. A good way to harvest full-thickness and thick grafts is to use an adhesive dermatome, after which the graft always has the same thickness. But today this method is used quite rarely, due to the lack of high-quality glue.

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