Excision of the Burn Wound in Patients With Large Burns

William F. McManus, Arthur D. Mason, Basil A. Pruitt

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

• The known major determinants of survival for patients with burn injury are age, burn size, inhalation injury, and infection. The clinical courses of 210 patients with burns of 30% of the body surface or greater treated from Jan 1, 1983, through Dec 31, 1985, were reviewed to determine whether excision of the burn wound could be identified as a factor in survival after massive burn injury. The predominant site of infection changed from the burn wound to the lung, with pneumonia being the most common bacterial infection in patients whose wounds were treated as described. Effective topical control of bacterial proliferation and excision of the burn wound have resulted in replacement of invasive bacterial wound infection by nonbacterial burn wound infection. The apparent advantages of excision, particularly in large burns, may reflect only patient selection, since only those patients who are considered to be physiologically stable and able to tolerate the physiologic stress of excision are considered for operation.

Original languageEnglish (US)
Pages (from-to)718-720
Number of pages3
JournalArchives of Surgery
Volume124
Issue number6
DOIs
StatePublished - Jun 1989

ASJC Scopus subject areas

  • Surgery

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