Update burn surgery: overview of current multidisciplinary treatment concepts
The treatment of severe burn injuries is an essential part of plastic-reconstructive surgery. Severe burned patients are treated in burn centers, which have highly specialized technical and personnel equipment. In addition to clear recommendations for prehospital management, intensive care therapy i...
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| Format: | Article |
| Language: | English |
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De Gruyter
2024-08-01
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| Series: | Innovative Surgical Sciences |
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| Online Access: | https://doi.org/10.1515/iss-2024-0020 |
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| author | Schlottmann Frederik Lorbeer Lisa |
| author_facet | Schlottmann Frederik Lorbeer Lisa |
| author_sort | Schlottmann Frederik |
| collection | DOAJ |
| description | The treatment of severe burn injuries is an essential part of plastic-reconstructive surgery. Severe burned patients are treated in burn centers, which have highly specialized technical and personnel equipment. In addition to clear recommendations for prehospital management, intensive care therapy is usually required for extensive burn wounds. Shock therapy in burns primarily involves balanced fluid resuscitation according to hemodynamic monitoring, vasopressor support, pain management, temperature regulation, oxygen therapy, and comprehensive supportive care to stabilize the patient’s condition. Surgical treatment is still based on wound debridement and the gold standard of autologous split-thickness skin grafting. Besides skin transplantation, surgical management of burns may also involve the application of various topical therapies to promote wound healing, reduce pain, and prevent infection. These therapies may include antimicrobial dressings, skin substitutes, growth factors, or specialized wound care products. Once the acute treatment has been completed, multidisciplinary rehabilitation treatment takes place, which begins in the acute hospital and continues in the outpatient and inpatient rehabilitation areas. Surgical treatment of the secondary complications of burns and scars is also an important component of burn care. Comprehensive knowledge of the various components and players involved in the care of severely burned patients is, therefore, required in order to achieve the best possible outcome for the patient. |
| format | Article |
| id | doaj-art-6f6ffdfd8b1b4fd4aace5b9f4ff1f8d4 |
| institution | OA Journals |
| issn | 2364-7485 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | De Gruyter |
| record_format | Article |
| series | Innovative Surgical Sciences |
| spelling | doaj-art-6f6ffdfd8b1b4fd4aace5b9f4ff1f8d42025-08-20T02:38:22ZengDe GruyterInnovative Surgical Sciences2364-74852024-08-019418119010.1515/iss-2024-0020Update burn surgery: overview of current multidisciplinary treatment conceptsSchlottmann Frederik0Lorbeer Lisa1Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, GermanyDepartment of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, GermanyThe treatment of severe burn injuries is an essential part of plastic-reconstructive surgery. Severe burned patients are treated in burn centers, which have highly specialized technical and personnel equipment. In addition to clear recommendations for prehospital management, intensive care therapy is usually required for extensive burn wounds. Shock therapy in burns primarily involves balanced fluid resuscitation according to hemodynamic monitoring, vasopressor support, pain management, temperature regulation, oxygen therapy, and comprehensive supportive care to stabilize the patient’s condition. Surgical treatment is still based on wound debridement and the gold standard of autologous split-thickness skin grafting. Besides skin transplantation, surgical management of burns may also involve the application of various topical therapies to promote wound healing, reduce pain, and prevent infection. These therapies may include antimicrobial dressings, skin substitutes, growth factors, or specialized wound care products. Once the acute treatment has been completed, multidisciplinary rehabilitation treatment takes place, which begins in the acute hospital and continues in the outpatient and inpatient rehabilitation areas. Surgical treatment of the secondary complications of burns and scars is also an important component of burn care. Comprehensive knowledge of the various components and players involved in the care of severely burned patients is, therefore, required in order to achieve the best possible outcome for the patient.https://doi.org/10.1515/iss-2024-0020burnsburn unitsintensive care unitsplastic surgery proceduresrehabilitationskin transplantation |
| spellingShingle | Schlottmann Frederik Lorbeer Lisa Update burn surgery: overview of current multidisciplinary treatment concepts Innovative Surgical Sciences burns burn units intensive care units plastic surgery procedures rehabilitation skin transplantation |
| title | Update burn surgery: overview of current multidisciplinary treatment concepts |
| title_full | Update burn surgery: overview of current multidisciplinary treatment concepts |
| title_fullStr | Update burn surgery: overview of current multidisciplinary treatment concepts |
| title_full_unstemmed | Update burn surgery: overview of current multidisciplinary treatment concepts |
| title_short | Update burn surgery: overview of current multidisciplinary treatment concepts |
| title_sort | update burn surgery overview of current multidisciplinary treatment concepts |
| topic | burns burn units intensive care units plastic surgery procedures rehabilitation skin transplantation |
| url | https://doi.org/10.1515/iss-2024-0020 |
| work_keys_str_mv | AT schlottmannfrederik updateburnsurgeryoverviewofcurrentmultidisciplinarytreatmentconcepts AT lorbeerlisa updateburnsurgeryoverviewofcurrentmultidisciplinarytreatmentconcepts |