A comprehensive protocol of general burn treatment with microdissected thin flaps—a preliminary report

摘要

Traditionally, the treatment for general burns has been divided into two types based on different objectives as follows: one type is used to cover the raw surface of the burn wound under intensive care, and the other type is used to correct scar contracture. In this comprehensive treatment protocol, these two categories are merged into a single series of consecutive surgical treatments derived from the prediction of the long-term prognosis of each wound. A keynote concept of this protocol is utilization of the limited recipient site as effectively as possible, so that only two types of skin in terms of thickness are transferred to cover the burn wound. These are thin split thickness skin grafts and microdissected thin flaps. Moreover, these two types of transfer are performed intensively in one period of hospitalization. Four patients were treated using of this protocol, and all patients recovered close to their full activities and no additional surgery was required after their discharge from the hospital.