RECONSTRUCTIVE SURGERY OF UPPER EXTREMITY AFTER THERMAL BURNS u2013 GUIDELINES OR EXPERIENCEA. STRITAR MD PhD, M. Miku0161a MD, L. Emeru0161iu010d MD, A. ArharDepartment of Plastic Surgery and Burns, University Medical Centre Ljubljana, SloveniaObjectivesHand burns hold a special place in the field of burn care, even though the surface area of the hand comprises approximately 1%TBSA. This is due to their anatomical, functional and aesthetic characteristics. Surgical treatment is a priority in these types of burns, especially on the dorsum of the hand and fingers.MethodsEarly tangential excision is the method of choice for treating deep dermal and subdermal hand burns. In these cases surgery yields considerably better functional and aesthetic outcomes, as opposed to conservative therapy. Consequently, hands are given priority over other parts of the body in surgical interventions.Physiotherapy and rehabilitation play a very important role in the treatment of hand burns. Functionality of the hand is of paramount importance for the quality of life of burn patients. Some general rules apply for the treatment of hand burns, i.e. an individualised approach, careful patient selection and operative therapy based on the principles of the reconstructive ladder.ResultsPatientu2019s psychophysical state and participation are undoubtedly important; they have to be monitored in addition to providing the patient with objective information regarding their treatment. The treatment should be opportune and carefully planned in regard to the expected timeline as well as to the prediction of the end result. Postoperative follow-up is lengthy, several operations may be required and the rehabilitation programme completes the whole treatment.ConclusionGuidelines and experience occasionally differ. The former primarily protect logistic and forensic facts, while the latter expresses operative, surgical and patientu2019s outcomes. Nevertheless, hand reconstruction, be it primary or late, should abide by the protocol without sudden changes or improvisation, while being in accordance with the expected timeline and burn scar maturation.

This book encompasses all of the state-of-the-art techniques currently available for the care of burn patients. Prepared with a focus on education and training, this outstanding guide presents the latest strategies and breakthroughs for the care of burn patients in outpatient, operating room, and intensive care unit settings and introduces all the relevant information required to apply the latest technologies to the care of burn patients using a hands-on approach. Principles And Practice of Burn Surgery covers advancements in resuscitation, operative techniques, infection control, and nutritional/metabolic support and demonstrates key principles in the surgical treatment of burn injuries.

Written by experts from London’s renowned Royal Free Hospital, Textbook of Plastic and Reconstructive Surgery offers a comprehensive overview of the vast topic of reconstructive plastic surgery and its various subspecialties for introductory plastic surgery and surgical science courses. The book comprises five sections covering the fundamental principles of plastic surgery, cancer, burns and trauma, paediatric plastic surgery and aesthetic surgery, and covers the breadth of knowledge that students need to further their career in this exciting field. Additional coverage of areas in which reconstructive surgery techniques are called upon includes abdominal wall reconstruction, ear reconstruction and genital reconstruction. A chapter on aesthetic surgery includes facial aesthetic surgery and blepharoplasty, aesthetic breast surgery, body contouring and the evolution of hair transplantation.The broad scope of this volume and attention to often neglected specialisms such as military plastic surgery make this a unique contribution to the field. Heavily illustrated throughout, Textbook of Plastic and Reconstructive Surgery is essential reading for anyone interested in furthering their knowledge of this exciting field. This book was produced as part of JISC's Institution as e-Textbook Publisher project. Find out more at https://www.jisc.ac.uk/rd/projects/institution-as-e-textbook-publisher

Implement TMR with Your Patients and Improve Their Quality of LifeDeveloped by Dr. Todd A. Kuiken and Dr. Gregory A. Dumanian, targeted muscle reinnervation (TMR) is a new approach to accessing motor control signals from peripheral nerves after amputation and providing sensory feedback to prosthesis users. This practical approach has many advantage

Concise, practical, and packed full of clinical information, the Oxford Handbook of Surgical Nursing is the essential resource for all those working in nursing practice surgery and its sub-specialties. Easily-accessible, this handbook provides all of the information and practical advice needed to care effectively and professionally for surgical patients. This handbook provides a thorough introduction to the principles and practice of the care of patients undergoing the range of surgical procedures. It covers all of the core elements of surgical care from point of diagnosis, through to discharge and rehabilitation. The Oxford Handbook of Surgical Nursing provides clinical knowledge and skills for managing complex cases in the hospital or clinic. This guide will assist the reader in understanding the core role of the surgical nurse within the modern surgical team, to plan, implement and evaluate patient care delivery, and to manage complications arising from surgery. Evidence-based, and following the latest national guidelines, you can be sure this will be an indispensable companion, for all nurses, whether new to the specialty, or more experienced in surgical care.