Department of plastic surgery & Burn Unit, LRH, Peshawar KpK Pakistan
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Burn Surgery

What is Burn treatment?

Burn is complex trauma and very difficult to treat without residual scarring, You can find two main categories of burn treatment: acute and reconstructive. Acute burn care happens immediately after the injury. It is delivered by a team associated with Burn and plastic Surgeons that specialize in acute burn care. Complex burns frequently require an expert team with burn and plastic surgeons, who is experienced with the inpatient and outpatient management of these cases. Large burns, or even burns of critical entire body areas, should be treated in a verified Burn Center.

Reconstructive burn surgery may be needed once the initial burn injuries have healed. This kind of treatment us usually provided by the Plastic Surgeon. The goals associated with reconstructive burn surgery are usually to improve both the function as well as the cosmetic appearance of post burn scars. This involves the customization or alteration of the scarring, by both non-operative plus operative means. The relationship between your burn patient and the reconstructive burn surgeon often will last many years. Treatments of post burn scarring often take several months to years, and and these scars improves with time in individuals who are still growing.

How is the treatment Performed?

Once patient survived from burn injuries, every patient need prolong treatment to prevent disability and post burn hypertrophy scarring as well contractures,nonoperative therapies might involve scar tissue massage, application of pressure garments and other topical treatments. The fitting of pressure garments is usually coordinated with the Occupational Therapist. There are also hands therapists who assist with the rehab of hand burns physiotherapy.
Operative therapy comprises mainly of scar removal and release procedures. Once a tight scar tissue is developed, that must be treated by senior Plastic Surgeon uses a variety of processes to these scars. split thicknes skin grafts, skin rearrangement (“Z-plastiy”), and more complex flaps might be required, depending on the location of the scar and the desired end result. Most minor procedures are usually performed as outpatient surgical treatment, but the larger grafts plus flaps will likely require a good inpatient stay.
For all these kind of treatment Patient compliance is most important, patient should follow strictly the instructions of his/her treating surgeon.

Planning Your Surgery

The first step would be to schedule a personal consultation together with your plastic surgeon. Communication is crucial within reaching your goals. You may have the opportunity to express your objectives and the results you’d like to accomplish. Together, you and your surgeon will certainly reach an understanding about what you may expect from this procedure and the long lasting benefits you will experience. Each patient is different, and your physician will choose the surgical method and treatment plan that is best for you. During the initial consultation, you need to expect.

Who may be a Good Candidate for Re-constructive Burn Surgery?

The best candidate for this surgery understands that surgery cannot get rid of their burn scars completely, but may be able to help improve fundamental functions or make marks less noticeable. If contracture from scarring is restricting the normal motion of the throat, shoulder, hands, or hip and legs, the release of scar contractures may be of benefit. Facial skin damage that leads to problems with the particular eyelids, lips, nose, or even hair loss can also be addressed. Marks that are abnormally thick, broad, or discolored might also end up being improved by a variety of surgical and nonoperative methods.

Surgical Procedure

You will be given a pre-operative information packet that points out everything you should do and understand before your surgery time. Your surgeon will give you particular instructions on how to prepare for surgical treatment, including guidelines on preoperative skin cleansing, eating and drinking, smoking cigarettes, and taking or staying away from certain vitamins and medicines. Whether your surgery is completed on an outpatient or inpatient basis, you should arrange for anyone to drive you home right after your surgery, and to assist you for a day or 2 after you leave the hospital when needed.

Types of Anesthesia

You will still remain comfortable throughout the whole procedure. In most cases, general anesthetic is used so that you will sleep through the entire procedure; although the local ease with intravenous sedation can also be an option for some patients.

Where Your Surgical treatment Will be Performed

Your method will take place at the University associated with Michigan Hospitals which provides cutting edge surgical suites and recuperation areas. The majority of these methods are completed on an outpatient basis.


Right after Your Surgery

It is very important that you simply follow your surgeon’s directions in order to promote healing and get the best possible outcome both in terms of performing and physical appearance. Also, it is necessary that you attend all followup appointments as scheduled so your surgeon can assess your own long-term results and solution any questions or concerns you may have.
Given that a variety of procedures can be performed, your own personal postoperative instructions may vary. Generally, skin grafts require the type of “bolster” dressing to keep all of them in place for 3-5 times without any movement of the epidermis graft. The bolster assists the skin graft “stick” towards the wound and begins to recover. Smaller operations (scar changes, Z-plastic) might require only a little, soft dressing afterward. Right after scar releases on the hands, your surgeon may location you in a larger dressing up that incorporates a plaster splint for support right after surgery. In general, follow-up appointments are scheduled within 14 days of surgery, and there could be sutures to remove at that time.
Extra physical therapy or work-related therapy may be required within the weeks and months subsequent surgery to ensure a complete recuperation of function. This may include splints or casts, and also exercises you perform at the treatment visits and on your own personal at home. Your surgeon, as well as your therapist(s), will work together to build up the plan that is best for you.