Treatment of forearm and hand burns is distinguished for specificity. Anatomically-important and delicate structures fit into a relatively limited space, coated with skin without a thick subcutaneous layer. Hand and forearm burned area tissue surgical debridement is technically difficult, too aggressive to the remaining healthy dermis and reduces the chance of burn wound self epithelisation. Surgical necrectomy can lead to serious complications, therefore it should be done delicately or alternative debridement method should be chosen. According to scientific data, a sterling and selective removal of non-viable tissue leads to faster wound epithelization, reduces the risk of scarring and induces a better functional recovery. Article observes advantages of mechanical, autolytic, enzymatic necrectomy methods for the treatment of deep partial thickness hand and forearm burns.
Please read the Copyright Notice in Journal Policy.