Selective Early Excision Versus a Conservative Surgical Approach. Management of Deep Burn Injury in a Resource‐Restricted Setting: A Prospective, Observational Study

In a single, low-resource institution, spontaneous eschar separation and delayed skin grafting improved mortality outcomes compared to a triage system providing early excision and subsequent grafting for a group of high-risk patients. Conservative surgical approaches should be considered where resource restrictions prevent early excision and simultaneous closure. Early excision without immediate closure does not provide mortality benefit.

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Publication Details

Journal
World Journal of Surgery
Published
2026-02-09
DOI
https://doi.org/10.1002/wjs.70262
Primary Topic
Burn Injury Management and Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Selective Early Excision Versus a Conservative Surgical Approach. Management of Deep Burn Injury in a Resource‐Restricted Setting: A Prospective, Observational Study

Nikki Allorto, David Gray Bishop
World Journal of Surgery
Burn Injury Management and Outcomes
article

Selective Early Excision Versus a Conservative Surgical Approach. Management of Deep Burn Injury in a Resource‐Restricted Setting: A Prospective, Observational Study

Nikki Allorto, David Gray Bishop
article en

Abstract

In a single, low-resource institution, spontaneous eschar separation and delayed skin grafting improved mortality outcomes compared to a triage system providing early excision and subsequent grafting for a group of high-risk patients. Conservative surgical approaches should be considered where resource restrictions prevent early excision and simultaneous closure. Early excision without immediate closure does not provide mortality benefit.

World Journal of SurgeryVol. 50(3)
Umkhuseli Innovation and Research Management (ZA)
Openalex Percentile: Top 60%
Burn Injury Management and Outcomes
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