Laser, Scalpel, Electrosurgical, and Tangential Excisions of Third Degree Burns.

摘要

The authors conclude that both 'formal' surgical excision and tangential excision may be used advantageously in carefully selected burn patients. The 'formal' excisions (down to fascia) are best performed with the electrocautery or laser. Although laser technology is improving, the laser used in this study was not substantially superior to the electrocautery. 'Formal' surgical excision was most useful in patients with clearly demarcated third degree burns in surgically manageable body areas. For patients with scattered third degree burns, contiguous to second degree burns, tangential excision may be used as an aggressive form of wound debridement.