Improving Surgical Treatment of Skin Burns to Reduce the Incidence of Pathologic Scarring

Background: In some parts of the world, incidence postburn pathologic scars reaches 16%. One should understand reconstructive surgery techniques and prioritize scar prevention during burn wound treatment. Inadequate management affects tissue formation may cause scarring. Optimal timing skin restoration operations reduces risk postoperative complications. Objective: To demonstrate that surgical removal fibrotic dermis granulation is feasible to reduce Materials methods: We studied treatment results in 57 patients with deep burns who were divided into 2 groups based on types before autologous grafting. Group 1 underwent total excision tissue, dermis, edges day 27–31 after injury. On 22–28 postburn, group had tangential upper layers only (the preserved), then The followed up postoperatively at 1, 6, 12 months. During examinations we assessed formed perfusion injuries. Types features identified by histologic examination biopsy tissues. Results: statistically significant differences between analyzed patient values measured laser Doppler flowmetry found a relationship approaches, perfusion, Conclusions: When early debridement unfeasible, preferred approach for staged cleansing from necrotic finally This prevents