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February 28, 2024Burns11 citationsOpen Access

Barriers and prospects for skin grafting in burn treatment across African countries

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DBDorothy BbaaleCMC MohrJLJudith Lindert

Key Points

  • Delayed wound healing increases the risk of wound infection and complications, leading to higher morbidity.
  • Skin grafting is essential for effective treatment of full-thickness burns, contrasting with conservative management.
  • Understanding regional barriers to skin grafting can improve accessibility and effectiveness of burn treatments across Africa.  This may enhance outcomes and reduce complications in patients with severe burns.

Abstract

The current standard management of full-thickness or deep dermal burns is early tangential excision and skin grafting. A conservative approach to deep burns without the option of skin grafting results in delayed wound healing, possibly leading to wound infection and is associated with hypertrophic scarring and increased morbidity and mortality. The aim of this study was to improve the understanding of the management and availability to perform skin grafting for burns on the African continent. It also sought to identify challenges and perceived improvements.

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Cite This Study

Bbaale et al. (2024) studied this question.

synapsesocial.com/papers/68e77206b6db6435876e6ed9https://doi.org/10.1016/j.burns.2024.02.012
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Burns in the Third World: an unmet need.2017 · 131 citations
  2. 2The use of dermal substitutes in burn surgery: Acute phase2014 · 198 citations
  3. 3Tranexamic acid reduced blood transfusions in acute burn surgery: A retrospective case-controlled trial2022 · 25 citations
  4. 4Early wound excision within three days decreases risks of wound infection and death in burned patients2023 · 31 citations
  5. 5The Effect of Surgical Intervention on Pediatric Burn Injury Survival in a Resource-Poor Setting2020 · 24 citations