When the surgeon’s knife does not quite cut it

When the surgeon’s knife does not quite cut it Eur J Plast Surg (2011) 34:517–518 DOI 10.1007/s00238-011-0597-7 LETTER TO THE EDITOR Krzysztof Ryszard Mateusz Rakowski & Niroshan Sivathasan & Baljit S. Dheansa Received: 21 February 2011 /Accepted: 12 May 2011 /Published online: 14 June 2011 # Springer-Verlag 2011 Sir, Options are limited for the management of full-thickness burns, and aggressive tangential-excision is the accepted treatment of choice in such cases. In patients with such Fig. 2 Full-thickness burns to his left upper limb at day 9 large burns and who are deemed unsuitable for surgery. Fig. 1 Predominantly full-thickness burn to his left torso at day 9 This can represent a testing scenario [1], and non-operative approaches must be considered. The risk of infection and subsequent complications is a major concern. A 51-year-old male presented to a major burns centre Patients with large burns requiring surgical debridement present a with 22% flame burns. The patient’s pyjamas caught fire in significant challenge when they are not surgical candidates. This is most often due to the risks associated with surgery outweighing the benefits in the kitchen, and he received no immediate first aid. The patients with co-morbidities. The risk of infection adds to this dilemma. We burns were assessed as http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

When the surgeon’s knife does not quite cut it

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Copyright © 2011 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
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