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Reconstructive Burn Surgery: Skin Burns

The purpose of the reconstructive (plastic) surgery after extensive burns is to correct the cosmetic defects caused by deep lesions of the skin and underlying tissues. The treatment is commenced only after complete healing of scars. As a preoperative preparation, the patient may be recommended a physiotherapy complex, accelerating the regeneration processes. Selection of a particular plastics method depends on the size and location of lesions.

Reconstructive Surgery Options

The foreign clinics widely use the following reconstructions:

  1. Skin transplantation. Using a special tool, dermatome, the surgeon cuts a healthy section of skin (usually from the buttocks or inner thigh) and transfers the same to the affected area. After transplantation, the transplanted tissue begins to form its own blood vessels. The healing process can take 3 to 6 weeks. The surgery is performed under general anesthesia.
  2. Flap surgery. Upon deep lesions, the skin is transplanted together with the underlying connective tissue. Using advanced microsurgery techniques, the experts connect the blood vessels of the graft with blood vessels in the transplant area. Scars after flap surgery are generally less noticeable than after skin transplantation.
  3. Tissue stretching. It is often used for burns of the head, neck and limbs. The surgeon places a balloon under the healthy skin near the lesion, which is filled with saline regularly. Gradually expanding, the balloon stretches the skin. The resulting extra flaps of the tissue are excised and transplanted to the burn site. This approach allows obtaining transplants identical to the damaged skin by color, texture and sensitivity.
  4. Z-plastic. It is used to remove the small scars on the face and hands. The affected area is Z-cut, and then the tissue flaps are cuts out and moved so that they closed the burn site completely.
  5. Laser resurfacing. Using the laser, the experts remove the top layer of the skin, which allows to reduce the post-burn deformation visually.

The tactics of restorative treatment is developed individually in each case after a detailed examination of the patient.

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    Tel Aviv Sourasky Medical Center

    9.9/10 from 23 Votes

    Department of Pediatric Plastic Surgery

    The Department of Pediatric Plastic Surgery of Dana-Dwek Children's Hospital at the Sourasky Medical Center offers a variety of reconstructive and cosmetic plastic surgery services for children.


    location_onCountry: Israel
    location_searchingCity: Tel Aviv

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    Head physician:

    Prof. Dr. med. Norbert PalluaCurriculum vitae keyboard_arrow_down

    • 1971 Abitur am Klassisch humanistischem Gymnasium Nicolaus Cusanus, Bruneck (Italien)
    • 1971-1974 Universität Innsbruck/Österreich: Medizinstudium
    • 1974-1975 18-monatiger Militärdienst beim Italienischen Heer (Alpini)
    • 1975-1979 Universität Wien/Österreich: Fortführung des Medizinstudiums
    • 1979 Promotion zum Dr. med. univ.
    • 1979 Dolmetscherprüfung Deutsch-Italienisch
    • 1980 Universität Bologna/Italien: Staatsexamen mit Approbation und Annerkennung der Promotion; Nostrifizierungsprüfung des im Ausland (Österreich) absolvierten Hochschulstudiums
    • 1988 Freie Universität Berlin: Deutsche Promotion (Dr. med.)  mit dem Thema: Risiko und Prognose der aortokoronaren Venenbypassoperation beim über 70-jährigen Patienten (Prof. Dr. Bücherl E. S.)
    • 1989 Ärztekammer Berlin: Facharzt für Chirurgie - Anerkennung der Gebietsbezeichnung
    • 1991 Massachusetts Gen. Hospital (Harvard Univ.) Boston/USA: Studienaufenthalt
    • 1992 Ärztekammer Niedersachsen: Anerkennung der Teilgebietsbezeichnung "Plastische Chirurgie"
    • 1994 Ärztekammer Niedersachsen: Zusatzbezeichnung "Rettungsmedizin"
    • 1995 Medizinische Hochschule Hannover: Venia legendi für Plastische Chirurgie - Habilitationsschrift zum Thema: Die systemische Entzündungsreaktion nach schwerem Verbrennungstrauma und ihre Bedeutung für die Entwicklung der Sepsis
    • 1996 European Board of Plastic, Reconstructive and Aesthetic Surgery: Europäische Facharztprüfung für Plastische Chirurgie: European Board Examination in Plastic Surgery mit Berechtigung zum Führen des Titels "Fellow of European Board of Plastic Surgery" (Notenabschluss: 91 von 100 Punkten)
    • 1996 Ärztekammer Niedersachsen: Umwandlung der Teilgebietsbezeichnung in Gebietsbezeichnung Plastische Chirurgie, Facharzt für Plastische Chirurgie
    • 1996 Ärztekammer Niedersachsen: Bereichsbezeichnung Handchirurgie

     

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    University Hospital RWTH Aachen

    9.7/10 from 41 Votes

    Department of Plastic, Hand and Burn Surgery

    The Department of Plastic, Hand and Burn Surgery specializes in four areas: reconstructive surgery, aesthetic surgery, hand surgery and burn surgery. A particular focus is on the surgery of skin tumors and soft tissues, aesthetic and reconstructive surgery of female breast.


    location_onCountry: Germany
    location_searchingCity: Aachen

    University Hospital of the Ludwig-Maximilians-University Munich

    9.2/10 from 40 Votes

    Department of General Surgery, Traumatology and Reconstructive Surgery

    The Department of General, Trauma- and Reconstructive Surgery is a modern acute hospital of the maximum degree medical care with operating halls at the highest technical level.


    location_onCountry: Germany
    location_searchingCity: Munich
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    Head physician:

    Prof. Dr. med. Johannes M. RuegerCurriculum vitae keyboard_arrow_down

    Facharzt für:

    Chirurgie, Unfallchirurgie, Spezielle Unfallchirurgie, Handchirurgie

    Wissenschaftlicher Lebenslauf:

    • 1971-1974 Medizinstudium Eberhard-Karls-Universität Tübingen
    • 1974-1977 Medizinstudium an der Johannes-Gutenberg-Universität Mainz
    • 1977-1978 Praktisches Jahr an der Freien Universität West-Berlin
    • 1978 Approbation
    • 11/78-7/79 Assistenzarzt, Anästhesiologie, Klinikum Steglitz, West-Berlin
    • 1/79 ECFMG Standard Examen
    • 9/79 ECFMG "Visa Qualifying Examination"
    • 10/79-12/79 Assistenzarzt, Pathophysiologie, Hufeland-Universität, Essen
    • 1/80-6/80 Assistenzarzt, Urologie, Hufeland-Universität, Essen
    • 7/80-12/80 Second Year Resident, Dept. of Surgery, University of Louisville, Ky, USA
    • 1/81-4/81 Assistenzarzt, Allgemeinchirurgie, St. Franziskus Krankenhaus, Bielefeld
    • 5/81-12/97 Unfallchirurgie, Chirurgisches Zentrum, Universitätsklinik Frankfurt a.M.
    • 10/83 Gastarzt, Abt. Histologie, Embryologie und Biomaterialien (Prof. Dr. H. Plenk) , Universität Wien
    • 1984 Promotion, Abteilung für Urologie, Hufeland-Universität, Essen
    • 1990 Habilitation zum Thema Knochenersatzmittel
    • 1990 Liniger-Preis der Deutschen Gesellschaft für Unfallheilkunde
    • 1991 Leitender Oberarzt in der Abteilung Unfallchirurgie, Chirurgisches Zentrum, Universitätsklinik Frankfurt am Main
    • 2/92-7/92 Fellow in Acetabulum and Pelvis Fracture Surgery (Prof. Dr. Joel M. Matta), Los Angeles County Hospital, University of Southern California, USA
    • 12/93 Federal Licensure Examination, Lincoln, Nebraska, USA
    • 4/94-7/94 Wirbelsäulenchirurgie, Orthopädische Universitätsklinik, Frankfurt a.M.
    • 1998- Direktor der Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie (Univ.-Prof. C4), Zentrum Operative Medizin, Universitätsklinikum Hamburg-Eppendorf
    • 1999-Schriftleitung European Journal of Trauma / Unfallchirurgie
    • 2000-2002 Sprecher des DFG-Graduiertenkollegs 476: Knochenstruktur und Substanzverlust

    University Hospital Hamburg-Eppendorf

    9.2/10 from 92 Votes

    Department of Traumatology, Hand and Reconstructive Surgery

    The Department of Trauma, Hand and Reconstructive Surgery at the University Medical Center Hamburg-Eppendorf focuses on operative preservation and reconstruction of bones, organs and tissues damaged in accidents.


    location_onCountry: Germany
    location_searchingCity: Hamburg
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    Academic Hospital Bogenhausen

    9.2/10 from 43 Votes

    Department of Plastic, Reconstructive, Hand Surgery and Burn Surgery

    The department of plastic, reconstructive, hand surgery and burn medicine provides the whole range of plastic surgery. Specialization also includes many surgeries whereby the patient's own tissues are transplanted to restore certain function.


    location_onCountry: Germany
    location_searchingCity: Munich

    University Hospital Erlangen

    9.1/10 from 51 Votes

    Department of Plastic Surgery and Hand Surgery

    The Department of Plastic and Hand Surgery offers the full range of modern plastic surgery that covers esthetic surgery, reconstructive surgery, burn surgery, craniofacial surgery and hand surgery. All the fields involve the use of microsurgical methods, laser surgery and endoscopy.


    location_onCountry: Germany
    location_searchingCity: Erlangen
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    Hirslanden Hospital Meggen

    8.5/10 from 39 Votes

    Surgery, plastic surgery, handsurgery, vascular surgery

    The clinic has accredited about 30 free practice doctors. The doctors that rent the beds for their patients work in different fields of medicine. The clinic has three operating rooms with modern equipment. There are 11 first-class hotel-type rooms and a day hospital with 11 beds at the clinic.


    location_onCountry: Switzerland
    location_searchingCity: Meggen

    St. Antonius Hospital

    8.3/10 from 8 Votes

    Department of Plastic Surgery, Hand and Reconstructive Surgery

    The Department specializes in plastic, aesthetic, and breast surgery. It also offers a wide range of modern surgical procedures for treatment of patients with the most diverse diseases and injuries/results of injuries to the hands and upper limbs.


    location_onCountry: Germany
    location_searchingCity: Eschweiler

    Alfried Krupp Hospital in Essen-Steele

    7.3/10 from 40 Votes

    Department of Plastic, Reconstructive, Aesthetic and Hand Surgery

    The reconstruction of limb and trunk injuries primarily deals with the closure of soft tissue defects, caused as a result of traumas or tumor masses, including the period of cancer treatment. The various methods are applied upon that.


    location_onCountry: Germany
    location_searchingCity: Essen

    Hannover Medical School

    9.8/10 from 43 Votes

    Department of Plastic, Reconstructive, Aesthetic Surgery and Hand Surgery

    The Department of Plastic, Reconstructive, Aesthetic Surgery and Hand Surgery at the Hannover Medical School offers the full range of modern plastic surgery including surgical treatment of burns.


    location_onCountry: Germany
    location_searchingCity: Hannover
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