#burn surgery

Burns are categorized depending on their severity in minor burns to major ones that may cause the death of the affected person. This is also the case because burn surgery is needed for severe burn injuries, the effects of which are not only on the skin but also in the underlying tissues.

The aims of burn surgery are to repair the injured tissues, provide functional plus cosmetic coverage for the burned skin.

Treatment Options for Burns

Initial Care: From the assessments made, the first management that is taken in the case of burns include cleaning the wound, preventing infection and controlling pain. First and second degree burns may be managed by use of topical creams and other dressing materials.

Surgical Intervention: In the severe cases of burns, surgery is required say, through skin grafts. This is a process of ensuring that healthy skin from an unrelated area is relocated to the area affected by burn so as to allow the formation of new skin.

Reconstructive Surgery: Where there is scarring or deformity of the skin or anatomic features, reconstructive surgery is done to enable the resurface the skin and also get functionality back. This may involve operations to alleviate pain or to enhance the range of movement in a joint or to minimize the visibility of a scar or scar tissue.

Why Choose Shifa Hospital?

Shifa Hospital which treats the patients needing surgical intervention for burns in Tirunelveli is headed by Dr. Ramya, a practicing cosmetic surgeon doctor in Tirunelveli. Due to the professionalism of the Surgeon, the patients undergo individual treatment and surgery plans are designed to address both the medical and facial beauty aspects.

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Burn injuries account for over 100,000 hospital admissions per year. The most common age groups are toddlers (age 2 through 4) and adolescents (age 17 through 25). Injuries to the head and neck account for approximately 50% of all burn injuries.

Burn Surgery Patient : This patient had tissue expansion, with scalp reconstruction, as well as reconstructive surgery on her eye and cheek to create a more natural and normal appearance. Notice the symmetry of the eyes that was created with a ptosis repair, mid face lift and lower eyelid reconstruction.

With the opening of many specialized burn centers for acute burn injuries, death rates from severe burns have dropped significantly. Survivors are often left, not only with functional impairment (e.g., drooling, neck contracture, corneal exposure, nasal airway blockage, lip incompetence), but also with a grotesque facial appearance and distortion of facial expression.

Doctor specializes is facial reconstructive surgery to not only improve the function of the face (speaking, chewing, eyelid opening and closing, and ability to move the head and neck) but also to restore the appearance to a more normal aesthetic. Skin grafts are used by conventional plastic surgeons to replace burn-damaged skin. The thin grafted skin often leaves a "patchwork," expressionless face. The skin texture is ropey, thickened and irregular, lacking facial animation.  Doctors incorporates more advanced methods of burn reconstruction and uses facial flaps (tissue flapped or transferred from other parts of the face head and neck), skin expanders, laser technology, and custom corrective make-up matches to achieve the most complimentary surgical outcomes.

Burn surgery service caters for both adult and paediatric patients for a broad range of conditions. We are involved in the treatment of many congenital skin lesions, together with some congenital conditions such as correction of prominent ear, skin tags and also the provider of a hypospadias service to the region. We are also involved in the correction of cleft lip and palate.

We cater for general plastic surgery conditions in adults. This includes the management of trauma, linked to our regional burns unit, for the acute effects of burns and also the reconstructive element. We are also involved in the management of trauma to the hands, including flexor tendon repair, nerve repair and the fixation of fractured bones in the fingers and distal part of the wrist. In addition, we manage soft tissue trauma such as dog bites or lacerations and are involved in the management of complex lower limb injuries in conjunction with the orthopaedic department.

We are also involved in the management of some congenital lesions such as tubular breasts, breast asymmetry. In the head and neck, we are involved to some degree in the management of skin cancers around the face, although the main intra-oral carcinoma is treated in Oxford.

Burn service

The Burns service is designated as a Burns Unit, forming part of the London and South East Burns Network; working to ensure patients who experience varying severity of burns are admitted to the most appropriate care setting. The service offers a robust multi-disciplinary team centred approach for its patients, including dedicated input from psychology, occupational therapy and physiotherapy in conjunction with experienced nurses and clinicians.

We cater for adult burns (up to 40% of total body surface area) in a dedicated burns unit and paediatric burns (up to 20% of total body surface area) on the paediatric ward.

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