Page 24 - PowerPoint Presentation

For deep dermal and full-thickness burn wounds,

surgical debridement and split thickness skin

graft is warranted.

Tangential excision is the commonest procedure

performed for burn wound debridement. It

involves sequential debridement of necrotic

tissue till healthy and well-vascularized tissue is

encountered.

In contrast, fascial excision is typically reserved

for patients who cannot tolerate excessive

blood loss and prolonged operating time

associated with tangential excision e.g.

unstable patients with extensive areas of deep

burn wounds. It involves excision down to deep

muscle fascia. Major drawbacks include loss of

cutaneous sensation, lymphedema and tissue

contour deformities.

The wound is usually reconstructed with split

thickness skin graft