Plastic Surgery; Its Principles And Practice

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Hot-water-bag Burns. — Burns from hot-water bags which are in- adequately covered, usually occur when the bag is placed against the skin of a patient who is unconscious and consequently does not feel Fig. 146. — Ice bag burn. This burn followed the long continued application of an ice bag on the abdominal wall, which was used for the relief of pain in pelvic inflammatory disease. The destruction extended to the muscle. Note the extent of healing from the edges in three months. The wound was hea
...led promptly with small deep grafts by the ambulatory method.
pain. It is as difficult to judge the degree of the burn as in those cases caused by electricity. There is usually intense pain, and the healing is extremely sluggish. After trying many methods, I have found that where the whole thickness of the skin is involved, excision and skin grafting supply the only rational method of treatment. First and second degree burns should be treated by the ordinary methods (Fig. 145).
Ice-bag Burns.


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