Document Detail


Reconstruction of the burned hand.
MedLine Citation:
PMID:  10665356     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is no "cookbook" for reconstructing the burned hand. Multiple issues can color the chances for a successful outcome. What is the endpoint of surgical effort? Is it when the patient tires, becomes discouraged, or ceases to return? These questions are not rhetorical. Whereas an appendectomy cures appendicitis, no single surgical procedure or series of procedures cures burns. Many patients spend their lives searching to be as they were preinjury. Although physicians as healers do not want to destroy hope, ethics command that we attempt to keep these patients focused on reality. Although there is always something that could be done, judgment dictates what should be done. The major goals are early independence and resumption of preburn lifestyle for the patient. A thoughtful surgical plan set up in conjunction with the burn team and with timed goals gives the patient the best chance for success.
Authors:
R E Salisbury
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in plastic surgery     Volume:  27     ISSN:  0094-1298     ISO Abbreviation:  Clin Plast Surg     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-02-29     Completed Date:  2000-02-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0424767     Medline TA:  Clin Plast Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  65-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, New York Medical College, Valhalla, New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Burns / complications,  surgery*
Contracture / etiology,  surgery*
Hand Injuries / surgery*
Humans
Postoperative Care
Reconstructive Surgical Procedures / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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