Trauma

Burns

Adult Burn Patients With More Than 60% TBSA Involved–Meek and Other Techniques to Overcome Restricted Skin Harvest Availability–The Viennese Concept

Lumenta DB, Kamolz L-P, Frey M (Med Univ of Vienna, Austria) J Burn Care Res 30:231-242, 2009^§

Abstract

Despite the fact that early excision and grafting has significantly improved outcome over the last decades, the management of severely burned adult patients with ≥60% total body surface area (% TBSA) burned still represents a challenging task for burn care specialists all over the world. In this article, we present our current treatment concept for this entity of severely burned patients and analyze its effect in a comparative cohort study. Surgical strategy comprised the use of split-thickness skin grafts (Meek, mesh) for permanent coverage, fluidized microsphere bead-beds for wound conditioning, temporary coverage (polyurethane sheets, Epigard^®; nanocrystalline silver dressings, Acticoat^®; synthetic copolymer sheets based on lactic acid, Suprathel^®; acellular bovine derived collagen matrices, Matriderm^®

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