Comparison of serial debridement and autografting and early massive excision with cadaver skin overlay in the treatment of large burns in children

David N. Herndon, Donald H. Parks

Research output: Contribution to journalArticle

114 Scopus citations

Abstract

Thirty-two children admitted from 1977 through 1981 were treated by serial debridement of their burn wounds with 1:1.5 to 3:1 meshed autografting of granulating tissue as it became available. Thirty-two burned children treated from 1981 to 1984 were treated by early total excision to fascia with application of 4:1 expanded autograft and cadaver skin for complete closure. The ages (6.8 ± 0.6 years), sex distribution, and mean per cent third-degree burn (64 ± 1%) were the same in both groups. There were seven deaths in each group. Overall operating time (10.3 ± 0.8 hours) and units of blood loss (28.3 ± 3.5) were indistinguishable in the survivors of both groups. The survivors of the early excision group underwent fewer operative procedures, (5.8 ± 0.5 vs. 7.6 ± 0.5) and had a greatly decreased length of hospital stay (57 ± 5 vs. 97 ± 8). The ultimate functional and aesthetic consequences of the two techniques must be compared.

Original languageEnglish (US)
Pages (from-to)149-152
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume26
Issue number2
DOIs
StatePublished - Feb 1986

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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