Acute Burn Surgery

Burns often happen unexpectedly and have the potential to cause lifelong disfigurement and death even. The surgeons for acute burn management in Pune aim to properly heal the burnt part and prevent infection to internal organs.

For better treatment, the doctors segregate burn patients on an out-patient and inpatients basis, based on the severity of burns. The burns can be categorised into four categories, namely:

  • Superficial
  • Superficial partial-thickness
  • Deep partial-thickness
  • Full Thickness

 

The full-thickness burns injury leads to skin contractures and disfigurement for a lifetime. The family of the burn survivor must be very cautious of psychological implications on the patients and must rear a positive curriculum for better adaptation to changes.

Diagnosis

The correct diagnosis is an important step towards the restoration of the skin’s normality. Acute burns which are typically deep partial or full-thickness, cause muscular, skeletal, and nervous damage; hence intensely planned procedures /surgeries are necessary.

If the burns are full-thickness or more than 10% of the total body surface, the cases are referred to the specialized burn surgery department.

Treatment

Acute burn treatments often require surgical intervention. The surgeries include excision and skin grafting in the worst cases. The surgeries are as:

  • Tangential excision

The plastic surgeon cleanses the burnt site and removes the dead tissues, and preserves viable dermis. Next, the surgeon covers the surgical part with skin grafts extracted from the donor site ( belly, groyne, thighs, etc.) and then properly dresses the wound for acute wound management. The wound is left immobilised under observation for a certain period to allow blood vessels to grow into skin grafts, forming normal skin.

  • Collagen Dressings:

Many scientific studies have shown that a hydrolyzed collagen-based supplement can significantly improve wound healing in patients with 20-30% burn injuries and reduce their hospital stay. Collagen is the skin’s primary protein that promotes wound healing by attracting fibroblasts and depositing new collagen fibres on the wound bed. Collagen dressings are crafted to stimulate such new tissue growth while encouraging autolytic debridement, angiogenesis, and reepithelialization over a burn wound.

  • Fascial excision

It is an alternative to tangential excision surgery and is indicated for full burns, suspected with sepsis and fungal infections in the burns. In this, the subcutaneous damaged tissues are removed from the burnt area and disinfected and dressed properly. It is a quicker and easier procedure with lesser blood loss, but it may cause contour defects.

  • Amputation

It is done in rare and severe wound cases, where there is no chance to recover, or keeping the burnt may lead to infection. Amputation means removing burnt body parts to limbs, fingers, toes, foot, arm, or leg.

Why Choose Dr. Amit Mulay For Your Acute Burn Surgery?

Dr. Amit Mulay has vast experience in performing different types of reconstructive and aesthetic skin surgeries. Burn surgery is necessarily required in severe cases. A good surgery has lower infection risk and improves appearance, which is one of the major concerns of burn victims. Dr. Amit is a member of NABI and was praised with the Young Investigator Award at the International Society of Burn Injuries (ISBI) in 2014. His proven excellence makes him the best surgeon for patients who need acute burn management in Pune.