Early excision & grafting

Early excision & grafting was the most important evolution of deep burn care in recent decades. The survival of burn patients has been increased by using this approach significantly. Today, early excision and grafting is a standard of care in deep burns. Although, the biggest impact of EE & G is on increasing the survival rate of burn patients, the other beneficial effects of it are decreasing of hospital stay, treatment cost, during of illness and hypertrophic scar. Excision over 10% must be done in a highly dedicated burn center with experienced team and proper equpment. EE & G shoud be done as soon as possible during 1-7 days after burn injuries when the patient is stable. Excision can lead to copious blood loss. There are two methods for excision; tangencia and prefacial. Prefacial excision can result cosmetic deformity, reduced sensation and edema.