Treatment of the burned hand: Early surgical treatment (1975-85) vs. conservative treatment (1964-74). A comparative study (original) (raw)

Our experience with early tangential excision and grafting for burns of the hands is presented. The advantages of the early surgical approach are proven by comparing this technique with the 'old' conservative treatment in two different populations. It is clearly concluded that early excision and grafting, combined with adequate physiotherapy and pressure garments, offer favourable results for the burned hand. Early excision of the burn eschar, before the appearance of contamination, may prevent infection, long and unfavourable delay in healing. scar formation with its incapacitating sequellae and a non-aesthetic appearance. Such a delay was characteristic of the 'conservative period', which was dominated by 'tibroblast', 'good granulation tissue', and hypertrophic scarring. Early surgery, as described and advocated here, shortens the healing time, lessens the hospital stay, minimizes reconstructive surgery and leads to a good functioning hand with a reasonable aesthetic appearance, enabling the affected patient to return quickly to work and normal routine life. Burns 5, 326. Sykes P. L. and Bailey B. N. (1976) Treatment of hand burns with occlusive bags: a comparison of 3 methods. Burns 2, 162. Stone P. A. and Lawrence J. C. (1973) Healing of tangentially excised and grafting burns in man. Br. J. Plast. Surg. 26, 20. Wexler R. M. and Rousso M. (1978) The immediate treatment of burned hand. Prog. Surg. 16, 165. Wang X. W., Sun Y. H., Zhang G. Z. et al. (1984) Tangential excision of eschar for deep burns of the hand: analysis of 156 patients collected over 10 years.