Application of minimally invasive debridement for deep second-degree facial burns in the early postburn phase

Abstract Objective This study aimed to evaluate the therapeutic efficacy of minimally invasive dermabrasion for deep second-degree facial burn wounds during the early postburn phase. Methods A total of 35 patients with deep second-degree facial burns underwent minimally invasive debridement using a...

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Main Authors: Chuwei Zhang, Zihan Li, Qingrong Zhang, Ming Jiang, Zhihan Zhu, Bolin Wang, Xunrui Zhang, Xinhua Zhu, Jun Qi, Yuhui Cai, Lei Wang, Kesu Hu, Yi Zhang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Surgery
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Online Access:https://doi.org/10.1186/s12893-024-02678-8
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author Chuwei Zhang
Zihan Li
Qingrong Zhang
Ming Jiang
Zhihan Zhu
Bolin Wang
Xunrui Zhang
Xinhua Zhu
Jun Qi
Yuhui Cai
Lei Wang
Kesu Hu
Yi Zhang
author_facet Chuwei Zhang
Zihan Li
Qingrong Zhang
Ming Jiang
Zhihan Zhu
Bolin Wang
Xunrui Zhang
Xinhua Zhu
Jun Qi
Yuhui Cai
Lei Wang
Kesu Hu
Yi Zhang
author_sort Chuwei Zhang
collection DOAJ
description Abstract Objective This study aimed to evaluate the therapeutic efficacy of minimally invasive dermabrasion for deep second-degree facial burn wounds during the early postburn phase. Methods A total of 35 patients with deep second-degree facial burns underwent minimally invasive debridement using a hydrosurgery system within 2–4 days post-injury. Subsequently, the wounds were covered with human biological dressings. The wound infection rate, healing time, and overall healing quality following debridement were monitored. Result In this cohort of 35 patients, no infections were reported after debridement. The average healing time for these wounds was significantly shorter than that of those treated with standard surgical excision. Clinical observations indicated that minimally invasive dermabrasion was associated with a lower infection rate and reduced healing time. After 6 months, scar assessment using the Vancouver Scar Scale showed that the average score for wounds treated with minimally invasive techniques was lower than those treated with standard surgical excisional technique. Conclusions This research indicates that minimally invasive debridement during the early postburn stage can effectively reduce wound infection rates, shorten healing times, and minimize the occurrence of scar hyperplasia and contracture deformities. Therefore, minimally invasive dermabrasion is valuable in treating deep second-degree facial burn wounds.
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spelling doaj-art-4ebdd97f59a84407a64a5fba2a8e6a2f2025-01-12T12:06:13ZengBMCBMC Surgery1471-24822025-01-0125111310.1186/s12893-024-02678-8Application of minimally invasive debridement for deep second-degree facial burns in the early postburn phaseChuwei Zhang0Zihan Li1Qingrong Zhang2Ming Jiang3Zhihan Zhu4Bolin Wang5Xunrui Zhang6Xinhua Zhu7Jun Qi8Yuhui Cai9Lei Wang10Kesu Hu11Yi Zhang12Department of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityDepartment of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityDepartment of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityDepartment of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityDepartment of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityDepartment of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityDepartment of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityDepartment of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityDepartment of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityDepartment of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityDepartment of Burn and Plastic Surgery, Zhongda Hospital Affiliated Southeast UniversityDepartment of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityDepartment of Burn and Plastic Surgery, Affiliated Hospital of Nantong UniversityAbstract Objective This study aimed to evaluate the therapeutic efficacy of minimally invasive dermabrasion for deep second-degree facial burn wounds during the early postburn phase. Methods A total of 35 patients with deep second-degree facial burns underwent minimally invasive debridement using a hydrosurgery system within 2–4 days post-injury. Subsequently, the wounds were covered with human biological dressings. The wound infection rate, healing time, and overall healing quality following debridement were monitored. Result In this cohort of 35 patients, no infections were reported after debridement. The average healing time for these wounds was significantly shorter than that of those treated with standard surgical excision. Clinical observations indicated that minimally invasive dermabrasion was associated with a lower infection rate and reduced healing time. After 6 months, scar assessment using the Vancouver Scar Scale showed that the average score for wounds treated with minimally invasive techniques was lower than those treated with standard surgical excisional technique. Conclusions This research indicates that minimally invasive debridement during the early postburn stage can effectively reduce wound infection rates, shorten healing times, and minimize the occurrence of scar hyperplasia and contracture deformities. Therefore, minimally invasive dermabrasion is valuable in treating deep second-degree facial burn wounds.https://doi.org/10.1186/s12893-024-02678-8Deep second-degree facial burn woundsMinimally invasive dermabrasionHydrodynamic debridement systemWound healing quality
spellingShingle Chuwei Zhang
Zihan Li
Qingrong Zhang
Ming Jiang
Zhihan Zhu
Bolin Wang
Xunrui Zhang
Xinhua Zhu
Jun Qi
Yuhui Cai
Lei Wang
Kesu Hu
Yi Zhang
Application of minimally invasive debridement for deep second-degree facial burns in the early postburn phase
BMC Surgery
Deep second-degree facial burn wounds
Minimally invasive dermabrasion
Hydrodynamic debridement system
Wound healing quality
title Application of minimally invasive debridement for deep second-degree facial burns in the early postburn phase
title_full Application of minimally invasive debridement for deep second-degree facial burns in the early postburn phase
title_fullStr Application of minimally invasive debridement for deep second-degree facial burns in the early postburn phase
title_full_unstemmed Application of minimally invasive debridement for deep second-degree facial burns in the early postburn phase
title_short Application of minimally invasive debridement for deep second-degree facial burns in the early postburn phase
title_sort application of minimally invasive debridement for deep second degree facial burns in the early postburn phase
topic Deep second-degree facial burn wounds
Minimally invasive dermabrasion
Hydrodynamic debridement system
Wound healing quality
url https://doi.org/10.1186/s12893-024-02678-8
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