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KMID : 0358819850120010035
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1985 Volume.12 No. 1 p.35 ~ p.41
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CLINICAL EFFECTS OF BIOLOGICAL DRESSING WITH AMNIOTIC MEMBRANES ON MESH GRAFT
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Choi Hae-Kon
Lee Jong-Won
Lee Taik-Ho
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Abstract
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The primary surgical objective in treatment of burn wound is to eliminate the damaged tissue and close the wound promptly so that the septic, metabolic, and functional effects that accompany an open colonized wounds will be avoided. It is difficult to apply this principle to deep and extensive burns, however, because of delays imposed by a physiologic-limit to the area of eschar that can be safely excised at one operation and because of lack of sufficient unburned donor sites to provide closure of the wounds with autograft.
The mesh grafts in which skin could be stretched from 1½times to 9 times its original size have been made to obtain maximum coverage from minimal donor sites, but the pain and oozing can not be controlled until the epithelization covers the raw surfaces of the meshed graft. These problems have stimmulated the search for the biological dressings with amniotic membrane on mesh graft that simulate partial thickness burn, which provide comparable beneficial local and general physiologic effects. In our personal experience of eight cases, this form of treatment of deep and extensive burns has proved the more effective and practical method.
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KEYWORD
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