Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management...
Transcript of Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management...
![Page 1: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/1.jpg)
BASICS OF BURN MANAGEMENT
Dr S M KeswaniDr S M KeswaniCosmetic SurgeonCosmetic Surgeon
National Burns Centre, Airoli,NaviNational Burns Centre, Airoli,Navi--MumbaiMumbaiBreach Candy HospitalBreach Candy HospitalWockhardt HospitalWockhardt Hospital
![Page 2: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/2.jpg)
National Burns Centre, Airoli , Navi-Mumbai.
![Page 3: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/3.jpg)
CLASSIFICATION
1. FIRST DEGREE 2. SECOND DEGREE3. THIRD DEGREE
![Page 4: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/4.jpg)
First degree ( superficial ) burnsFirst-degree burns involve only epidermis of skin.The burn site appears red and it is very painful.
![Page 5: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/5.jpg)
Second-degree (partial thickness) burnsSecond-degree burns involve the epidermis and part of the dermis layer of skin. The burn site appears red, blistered, and may be swollen and painful.
![Page 6: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/6.jpg)
Third-degree (full thickness) burnsThird-degree burns destroy the epidermis and dermis. Third-degree burns may also damage the underlying bones, muscles, and tendons. The burn site appears white or charred. There is no sensation in the area since the nerve endings are destroyed.
![Page 7: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/7.jpg)
First degree burns
![Page 8: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/8.jpg)
Second-degree burns
![Page 9: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/9.jpg)
Third-degree burns
![Page 10: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/10.jpg)
Body Surface Area of Burns(% )
Rule of NinesRule of NinesRule of HandRule of HandLund and Browder ClassificationLund and Browder Classification
![Page 11: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/11.jpg)
Chemical burns Thermal burns Electrical burns
Flash burns Inhalation burns Scald burns
![Page 12: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/12.jpg)
INTERNAL BURN
![Page 13: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/13.jpg)
Third degree burns of legs
![Page 14: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/14.jpg)
SUPERFICIAL BURN
![Page 15: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/15.jpg)
First-Aid In Burns
POUR WATER ON BURNS TILL POUR WATER ON BURNS TILL BURNING SENSATION SUBSIDESBURNING SENSATION SUBSIDESElectric BurnsElectric Burns--Separate from source of Separate from source of electricity and pour waterelectricity and pour waterChemical BurnsChemical Burns--Irrigate the burn with Irrigate the burn with waterwater--stand under a showerstand under a shower
![Page 16: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/16.jpg)
First Aid
POUR WATER ON BURNS TILL PAIN SUBSIDES
![Page 17: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/17.jpg)
CHEMICAL INJURY TO EYE
First Aid, Flash with Saline Continuously
![Page 18: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/18.jpg)
Criteria for hospitalisation(American Burn Association)
Burns>20% in adult,10% in childBurns>20% in adult,10% in childChemical or Electrical BurnsChemical or Electrical BurnsInhalation burnsInhalation burnsBurns involving vital areaBurns involving vital area--face,genitals,hands,feetface,genitals,hands,feetCircumferential burnsCircumferential burnsBurns in elderly,neonates and medically Burns in elderly,neonates and medically compromisedcompromised
![Page 19: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/19.jpg)
EARLY MANAGEMENT
INTRAVENOUS FLUIDSINTRAVENOUS FLUIDSNASAL OXYGENNASAL OXYGENPAIN MANAGEMENTPAIN MANAGEMENTINTRAVENOUS ANTIBIOTICSINTRAVENOUS ANTIBIOTICSBLOOD TRANSFUSIONBLOOD TRANSFUSIONNUTRITIONNUTRITION
![Page 20: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/20.jpg)
Dressing Techniques
Puncture the blister Puncture the blister Do not remove the dead skinDo not remove the dead skinClean with normal salinClean with normal salinNonNon--adherent dressing(sofratulle)adherent dressing(sofratulle)Thick layer of 1%SilversulphadiazineThick layer of 1%SilversulphadiazineThick layer of absorbent gauzeThick layer of absorbent gauzeElastocrepe BandageElastocrepe Bandage
![Page 21: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/21.jpg)
BURNS DRESSING
SILVER SULPHADIAZINE 1%SILVER SULPHADIAZINE 1%POVIDONE IODINE 5%POVIDONE IODINE 5%POTATO PEEL BANDAGEPOTATO PEEL BANDAGESOFRA TOULLE DRESSINGSOFRA TOULLE DRESSINGSKIN SUBSTITUTESSKIN SUBSTITUTES
![Page 22: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/22.jpg)
The SKIN SUBSTITUTES now The SKIN SUBSTITUTES now available can be divided into three available can be divided into three categories, depending on their origin categories, depending on their origin and physiochemical composition:and physiochemical composition:
Biological skin substitutes Biological skin substitutes Synthetic skin substitutes Synthetic skin substitutes Biosynthetic skin substitutes. Biosynthetic skin substitutes.
![Page 23: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/23.jpg)
BIOLOGICAL SKIN SUBSTITUTES
Pig skin Pig skin human amniotic membrane human amniotic membrane collagen derivatives collagen derivatives cultured allograft.cultured allograft.
![Page 24: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/24.jpg)
AMNIOTIC MEMBRANE
IRRADIATED AMNION (TMH TISSUE BANK)
![Page 25: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/25.jpg)
COLLAGEN APPLICATION
![Page 26: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/26.jpg)
SKIN BANK
SKIN BANK ARE SIMILAR TO BLOOD SKIN BANK ARE SIMILAR TO BLOOD BANK.BANK.THEY STORE SKIN FROM DONORS.THEY STORE SKIN FROM DONORS.DONORS SKIN IS CALLED ALLOGRAFT.DONORS SKIN IS CALLED ALLOGRAFT.IT IS PRESERVRD IN SOLUTION OR IT IS PRESERVRD IN SOLUTION OR FROZEN.FROZEN.THIS SKIN IS TEMPORARY COVER.THIS SKIN IS TEMPORARY COVER.MANY TIMES THIS GRAFT IS REJECTED.MANY TIMES THIS GRAFT IS REJECTED.
![Page 27: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/27.jpg)
SYNTHETIC SUBSTITUTES
Duoderm (polyurethane and Duoderm (polyurethane and hydrocolloids) hydrocolloids) Opsite (polyurethane film) Opsite (polyurethane film) Omiderm (acrylamide film and Omiderm (acrylamide film and hydroxyethylmethyerylate with hydroxyethylmethyerylate with polyurethane). polyurethane).
![Page 28: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/28.jpg)
BIO SYNTHETIC SUBSTITUTES
Yannas and Burke's artificial Yannas and Burke's artificial skin (Silastle film, collagen, skin (Silastle film, collagen, chondroitin sulphate) chondroitin sulphate) Biobrane (silicone film, nylon, Biobrane (silicone film, nylon, collagen collagen --derived peptides).derived peptides).
![Page 29: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/29.jpg)
SEVERE THERMAL BURN
![Page 30: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/30.jpg)
BIOLOGICAL SKIN
IntegraIntegra
![Page 31: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/31.jpg)
BIO- SYNTHETIC SKIN SUBSTITUTE .(BIOBRANE)
![Page 32: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/32.jpg)
BIO-SYNTHETIC SKIN
BEFORE AFTER
![Page 33: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/33.jpg)
GLYCEROL PRESERVED AUTOGRAFT (DONOR SKIN)
![Page 34: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/34.jpg)
Tissue Culture
Allogenic keratinocytesAllogenic keratinocytesAutogenic keratinocytesAutogenic keratinocytesSKIN CAN NOW BE GROWN IN A SKIN CAN NOW BE GROWN IN A LABORATORYLABORATORY
![Page 35: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/35.jpg)
Spray -on-skin
Skin is now available as Nasal Spray and Skin is now available as Nasal Spray and can be sprayed onto the burn woundcan be sprayed onto the burn wound
Fiona WoodsFiona Woods--awarded Australian Woman awarded Australian Woman of the Year AWARD for this monumental of the Year AWARD for this monumental workwork
![Page 36: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/36.jpg)
SEVERE SEPSIS
![Page 37: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/37.jpg)
LATE MANAGEMENT
SURGICAL SKIN GRAFTING.SURGICAL SKIN GRAFTING.SURGICAL TREATMENTSURGICAL TREATMENT
DELAYED DELAYED EXCISION&SSGEXCISION&SSG
Wait for slough to Wait for slough to separate outseparate out--3wks3wksSSG (Meshed) SSG (Meshed)
2 . DELAYED EXCISION & STSG.
1 . EARLY EXCISION & STSG
![Page 38: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/38.jpg)
SURGICAL TREATMENTSURGICAL TREATMENT
GRAFTING IN GRAFTING IN STAGESSTAGES
One thigh and leg One thigh and leg used to graft part of used to graft part of opposite thigh, the opposite thigh, the anterior chest wall anterior chest wall and medial aspect and medial aspect of the rt.upper armof the rt.upper arm
DELAYED EXCISION & STSG IN STAGES
ANTERIOR CHEST WALL WAS COVERED WITH STSG FROM THIGH (FIRST STAGE)
![Page 39: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/39.jpg)
SURGICAL TREATMENTSURGICAL TREATMENT
Opposite thigh Opposite thigh and leg and and leg and both upper both upper extremities are extremities are used to cover used to cover the remaining the remaining raw areasraw areas
FULLY COVERED WITH GRAFT (FINAL STAGE)
![Page 40: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/40.jpg)
Burns following epileptic Convulsion
![Page 41: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/41.jpg)
Post Skin Grafting
![Page 42: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/42.jpg)
PRE OP VEIW POST OP VEIW
POST BURN AXILLARY CONTRACTURE RELEASE
![Page 43: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/43.jpg)
Post burn contracture of hand
![Page 44: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/44.jpg)
Post Burn Hypertropic Scaring of Hand
![Page 45: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/45.jpg)
Tangential excision of Skin Grafting
![Page 46: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/46.jpg)
Linear Scar on Face (Pre-op)
![Page 47: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/47.jpg)
2- Plasty (Post-op)
![Page 48: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/48.jpg)
Prevention- Early Resurfacing
![Page 49: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/49.jpg)
Multiple Z- Plasties
![Page 50: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/50.jpg)
Postburn Neck Contracture
![Page 51: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/51.jpg)
Operative Procedure
![Page 52: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/52.jpg)
Severe Post burn neck contracture
![Page 53: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/53.jpg)
Release of contracture and skin grafting
![Page 54: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/54.jpg)
Contracture released and skin grafted
![Page 55: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/55.jpg)
PREVENTION OF CONTRACTURES & HYPERTROPHIC SCARS
EARLY EARLY PHYSIOTHERAPYPHYSIOTHERAPY
PRESSURE PRESSURE GARMENTSGARMENTS
CICA CICA CARE(Silicone gel CARE(Silicone gel sheeting)sheeting)
PRESSURE GARMENTSPRESSURE GARMENTS
![Page 56: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/56.jpg)
BURN CENTRE
PLASTIC SURGEONPLASTIC SURGEONGENERAL SURGEONGENERAL SURGEONANAESTHETISTANAESTHETISTINTENSIVISTINTENSIVISTDIETICIANDIETICIANPHYSIOTHERAPISTPHYSIOTHERAPISTMICROBIOLOGISTMICROBIOLOGISTSOCIAL WORKERSOCIAL WORKERTRAINED PARAMEDICAL STAFFTRAINED PARAMEDICAL STAFF
![Page 57: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/57.jpg)
The more you give the more you get,The more you give the more you get,Experience the joy of giving,Experience the joy of giving,Giving not money,but of yourself,Giving not money,but of yourself,It is only when you give of yourself,It is only when you give of yourself,That you truly give!That you truly give!
--Kahlil GibranKahlil Gibran(The Prophet)(The Prophet)
![Page 58: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/58.jpg)
If my mind can conceive it,If my mind can conceive it,
If my heart can believe it,If my heart can believe it,
I know I can achieve itI know I can achieve it
--Jesse JacksonJesse Jackson
![Page 59: Basics of Burn Management Malad - BunrsBombay.comburnsbombay.com/Basics of Burn Management Malad.pdf · BASICS OF BURN MANAGEMENT Dr S M Keswani Cosmetic Surgeon National Burns Centre,](https://reader031.fdocuments.in/reader031/viewer/2022022117/5c92df2f09d3f206488b9b81/html5/thumbnails/59.jpg)