Wound Excision to Fascia in Burn Patients

Barry A. Levine, Kenneth R. Sirinek, Basil A. Pruitt

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

All charts of burn patients admitted to the US Army Institute of Surgical Research over a four-year period were reviewed to determine the efficacy of excision of the burn wound to fascia as a therapeutic modality. Of 1,013 burn patients, 72 underwent this procedure. The patients who had excisions had a mean total burn size of 52% of body surface area (BSA) and a mean third-degree burn of 33%. We correlated survival with burn size, associated injuries, day of excision, wound coverage, and sepsis. Survival in the group who had excisions (57%) did not differ substantially from that of the other patients (38%) when broken down by burn size. Careful selection of patients for this procedure and criteria for selection are stressed.

Original languageEnglish (US)
Pages (from-to)403-407
Number of pages5
JournalArchives of Surgery
Volume113
Issue number4
DOIs
StatePublished - Apr 1978

ASJC Scopus subject areas

  • Surgery

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