Burn Centre with Plastic Surgery
Extensive thermal trauma is one of the most sever injuries a human being can suffer. The extensive and deep damage to body surface does not only cause local damages by penetrating the protective skin barrier, it also causes biochemical processes in the entire body with life-threatening effects.
Burn shock is especially dangerous. It can quickly cause fluids to redirect to different parts of the body leading to losses in tissue fluid at the sight of the burns as well as a large scale oedema formation (accumulation of fluids in the connective tissue) in non-burned surfaces. If this situation is not dealt with quickly, inadequate blood circulation to the vital organs can cause to damages to body functions. This can in turn lead to life threatening multiple organ failure.
The success of our burn therapy relies on the close collaboration of various medical specialisations. Nurses especially trained in intensive care provide burn patients the extensive and compassionate care they require. Physiotherapists and occupational therapists are present from the beginning to ensure that rehabilitation begins even in the intensive stages. Psychological counselling is available to patients and their families from the start.
Surgical treatment of burns falls into two categories: conservative and operative. Superficial, first degree (sunburns) and second degree burns (blisters with blood in the wound area) are usually treated conservatively. The goal here is to help the body heal itself with pain relief and disinfectants, a process that usually takes about two weeks. Increasingly, second-degree burns to the epidermis are treated with artificial skin as well as biological transplants. Transplant material offers patients smooth regeneration, quick pain relief and significantly decreased number of bandage changes, all contributing to the quick and complete healing of the wound.
Severe second and third degree burns require surgical treatment. This includes removing the burnt tissue up to the vital organs.
Enzymatic debridement using an enzyme mixture that only selectively removes destroyed tissue is a completely new state-of-the-art method that safeguards vital layers of skin and in many cases makes skin transplant unnecessary.
Some deep wounds require transplanting the patient’s own skin.
Because of the limited amount of uninjured surface, the patient’s skin is enlarged using various expansion methods. In some cases, burns covering over 60% of the body surface means there is not enough undamaged skin for a transplant. Skin culture then has to be grown in the lab, a complex, expensive and time-consuming process which has been used in the Unfallkrankenhaus Berlin for years with great success.
A completely new therapy option is the application of a skin cell gun. Wounds – especially to the hand and face –which show delayed healing often accompanied by augmented scarring, can be treated by spraying skin cells on the wounded surface. The results of the recovery are generally very good.
Another cutting-edge innovation in the field of burn treatment is the replacement of skin layers with (epi)dermal replacement material. Using these materials made of collagen in connection with the patient’s thin skin transplant makes the transplantation results much more similar to the original skin.
This method is mostly used in the hand as well as other larger joints which are important to the body both functionally and aesthetically.
The Burn Centre with Plastic Surgery’s integrated tissue bank only works with the newest and most cutting-edge methods and materials.
Unfallkrankenhaus BerlinBurn Centre with Plastic Surgery
Warener Str. 7