Early Excision And Grafting In Burns In A Tertiary Care Centre

Burns injury continues to be major health burden in the world. Early excision increases survival rate with early return to daily life. Aim: to compare morbidity in patients managed by early excision and grafting within 7 days of burns injury and those patients who were conservatively managed. Methodology: details of number of surgeries and type of surgery, blood transfusion (units) needed, aba criteria, length of hospital stay and incidence of sepsis are collected. Conclusion: early excision and grafting in burns has clear advantages and the treatment ends faster, however due to poor availability of skin substitutes, early excision is restricted to less than 20%. With availability of cadaveric allograft excision can be done upto 30% tbsa burns