Clinical Management of Burns: Past, Present and Future

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 20 June 2025 | Viewed by 1330

Special Issue Editor


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Guest Editor
Department of Plastic Surgery and Burn Unit, Soroka University Medical Center, Faculty of Health Sciences and The Rosenberg Museum of Medicine, Ben-Gurion University of the Negev, Beer-Sheba 8400711, Israel
Interests: burn care; wound care; plastic surgery; burn injuries; medical history

Special Issue Information

Dear Colleagues,

The progress of burn care has changed and is changing the morbidity and mortality of burn victims of all ages. A better understanding of burn pathology and the realization that it is a complex syndrome where each phase, aspect, and treatment may have a deep impact on other physiological and pathological phenomena lead to a comprehensive approach towards burn victims and the formation of specialized burn teams and burn centers. Progress in intensive care, medication, surgery and non-invasive therapies creates new tools for burn teams, but their cost in the present cost-sensitive era poses additional challenges to care providers. The challenge of burn care increases in view of the fast spread of resistant microbial strains and the looming danger of conflicts where more devastating arms are used. Specialized burn teams and centers, which are small and few in number, face a new challenge: burn mass casualty incidents (BMCIs) where they may be inundated by large numbers of burn victims, overcoming their modest surge capacity.

In this Special Issue, we welcome authors to submit papers on topics that give us insights of our past, i.e., the history of burn care. We would like also to open the doors to modalities other than occidental/formal treatment that may be as effective: an introduction to the traditional Chinese and Indian (Ayurveda) methods of burn care (including wound treatment, infection, inflammation and pain control) and their potential benefits and risks. We welcome papers that describe paradigm-changing approaches as well as new understandings of old phenomena. We also encourage papers that approach the handling of BMCIs and address the frequent expectation that burn specialists should also act as soft tissue trauma specialists. Last but not least, we welcome any practical and cost-reducing but effective means (“better and cheaper”) of burn care.

Dr. Lior Rosenberg
Guest Editor

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Keywords

  • history of burn care
  • burn care infection
  • inflammation
  • burn wound care and closure
  • debridement
  • traditional Chinese burn care
  • traditional Indian (Ayurveda) burn care
  • burn mass casualty incidents (BMCIs)
  • surge capacity
  • burn pain control
  • pruritus
  • burn scar treatment

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Published Papers (1 paper)

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Research

10 pages, 2220 KiB  
Article
A Pilot Study to Evaluate the Minimally Invasive Burn Care for Small, Deep Partial-Thickness Burns of the Hands and Feet Using Enzyme Debridement and Autologous Skin Cell Spray
by Kohei Aoki, Takako Komiya, Kento Yamashita, Kazuki Shimada, Miki Fujii and Hajime Matsumura
J. Clin. Med. 2024, 13(24), 7721; https://doi.org/10.3390/jcm13247721 - 18 Dec 2024
Viewed by 1041
Abstract
Background/Objectives: We treated deep partial-thickness burns of the hands and feet in four cases using a combination of NexoBrid and ReCell autologous cell regeneration techniques, without conventional split-thickness skin graft, with good results following debridement of the eschar. Methods: We report [...] Read more.
Background/Objectives: We treated deep partial-thickness burns of the hands and feet in four cases using a combination of NexoBrid and ReCell autologous cell regeneration techniques, without conventional split-thickness skin graft, with good results following debridement of the eschar. Methods: We report cases of patients treated with a combination of the NexoBrid and ReCell techniques between 1 August 2023 and 31 July 2024. The degree of debridement and the time to complete wound closure were evaluated. Scar quality was assessed using the Vancouver Scar Scale (VSS). Results: Four patients aged 0–28 years with an average total burn surface area of 1.2% were treated on two hands and two feet, with an average follow-up of 12 months; no additional surgical treatment was needed. The mean VSS score was 0.25. The patients were satisfied with the aesthetic appearance of their hands and feet, and no complications, such as hypertrophic scars, were observed. We also developed separate algorithms for sedation and analgesia management for adults and children. Conclusions: Using ReCell alone following debridement of small burn wounds with NexoBrid resulted in early wound closure with good scar condition and cosmetic appearance. Full article
(This article belongs to the Special Issue Clinical Management of Burns: Past, Present and Future)
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