ABSTRACT
Release of skin contractures across a joint surface by X-incision is presented. The method is particularly suitable for severe and moderate contractures. Resultant long lateral flaps lead to good coverage of the flexor surface of the joint. This prevents recurrence of contracture even in growing children. The method is suitable for any joint.
Subject(s)
Burns/surgery , Contracture/surgery , Surgical Flaps/methods , Adult , Bandages , Child , Cicatrix/etiology , Cicatrix/surgery , Follow-Up Studies , Humans , Immobilization , Skin TransplantationABSTRACT
Cellophane paper has been used as a dressing for split-thickness skin graft donor sites in 251 patients between October 1985 and December 1989. Twelve donor sites in 10 patients were observed in detail to assess the usefulness of this material. The results of the study are presented and the merits and disadvantages of this dressing material have been discussed. In the opinion of the authors the cellophane paper dressing was found to be most satisfactory. It is also cheaper than the newly available dressing materials for the skin donor area.
Subject(s)
Burns/therapy , Occlusive Dressings , Skin Transplantation , Burns/surgery , Cellophane , Child, Preschool , Dermatologic Surgical Procedures , Female , Humans , Infant , Male , Postoperative Period , Skin Transplantation/methodsABSTRACT
Histological and clinical studies have been made on comparable burn wounds covered with either boiled potato peels affixed to gauze bandages or gauze dressings alone; both dressings were applied over a thin layer of 5 per cent silver sulphadiazine. Compared with treatment with plain gauze dressings, the application of the potato peel dressing reduced or eliminated dessication, permitted the survival of superficial skin cells and hastened epithelial regeneration. Bacteriological studies showed that the potato peels had no intrinsic antibacterial activity, the wounds beneath both dressings showing either no growth or, on most occasions, the same bacterial species. The easy availability of potato peels and gauze bandages on to which they can be affixed, the simplicity of the preparation of this dressing, the ease of sterilization and its low cost of production make this the dressing of choice for burn wounds in our developing country.
Subject(s)
Bandages , Burns/therapy , Solanum tuberosum , Adolescent , Adult , Burns/microbiology , Burns/pathology , Child , Child, Preschool , Epidermis/pathology , Female , Humans , Infant , Male , Middle Aged , Time Factors , Wound HealingABSTRACT
The use of potato peels as a dressing for burn wounds has been reported previously. A technique of preparing bandage rolls with boiled potato peels is now presented, which makes dressing of a burn wound more convenient.
Subject(s)
Bandages , Burns/therapy , Solanum tuberosum , HumansABSTRACT
This paper discusses the suitability of potato peel as a burn wound dressing in developing countries. Clinical trials have demonstrated that epithelial growth occurs under the potato peel dressing in superficial partial thickness skin loss burns. In deep partial, full skin thickness burns and in the late granulating burn wound the results are not so favourable. More experience is required.
