Abstract

The concept of immediate excision and coverage of early burn wounds has been controversial in certain circumstances because of the clinical concept of the progressive necrosis [1]. However, radical debridement followed by early coverage with grafts and/or flaps has been performed. The main principle about the burn treatment and reconstruction is to jeopardise neither the patient nor any flap that might be lost because of the general status of the acute burn victim [2]. The surgical principles of burn care are preservation of life, prevention and control of infection, conservation of all viable tissue, maintenance of function and timely closure of burn wounds [3–5]. Thus, the timing of any reconstruction and closure of burn wounds should be considered after all other vital issues [6–8].

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