The issue of burn treatment and burn disease arises in cases of burns of a large part of the body surface, etc. A special branch of medicine, combustiology, is devoted to this issue, and a doctor who specializes in medical care for burns is called a combustiologist.
Treatment of burns and burn disease is usually performed using specialized tools and technologies, instrumental and laboratory indicators, if necessary. This allows the doctor to accurately determine the nature of the disorder and provide appropriate medical care. Special equipment allows for medical interventions with minimal damage to surrounding tissues.
Timely and properly provided medical care for burns and burn disease allows patients to return to normal life and maintain or restore its quality.
If needed, our doctors provide consultations not only in Ukraine but also worldwide, both at our clinic in Kyiv and online through prior appointments. Comprehensive diagnostics, treatment, and prevention are offered.
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You should promptly consult regarding burns, burn disease if you experience the following symptoms:
A consultation includes:
interview (the doctor asks about complaints, learns about medical history and life);
external clinical assessment (the patient will be thoroughly examined, palpated, all altered areas and the condition of each organ system will be examined)
laboratory examination (both general clinical tests and special tests);
instrumental examination (to determine both the general condition of the body and those areas where changes have developed);
in case of taking any medications, inform the doctor and agree with him/her (it may be necessary to limit them or change the dosage, regimen)
for several days before the operation, follow a sparing diet, water and drinking regimen; if you have constipation, take laxatives, use enemas and do not drink alcoholic beverages - so that the body reacts more adequately and predictably to anesthesia and other drugs
refrain from eating for 6-12 hours before the surgery, and 2-4 hours before the surgery do not drink, chew gum, smoke - to protect against the ingestion of stomach contents into the respiratory system during anesthesia
on the day of surgery, take a shower, cleanse the intestines with an enema to prevent spontaneous passage of feces during anesthesia due to sphincter relaxation
immediately before the operation –
- removable objects (piercing jewelry, dentures) are removed from the mouth and face so that they do not accidentally get into the respiratory system or interfere with the surgical intervention during the operation
- remove other items (contact lenses, hearing aids, jewelry.) to prevent accidental injury to the body and to prevent them from getting damaged
- remove cosmetics (makeup, nail polish, false nails) from the body to facilitate visual assessment of the body's condition and automated registration with medical equipment
- empty the bladder and, if necessary, the intestines to prevent spontaneous bowel movements during anesthesia
- change into special clothes provided by the clinic.
other preparatory measures can be taken in addition, taking into account individual characteristics of the body and the specifics of the surgical intervention
The main stages:
or escorted on foot. At the gateway, they put on a medical cap and shoe covers (to protect against microorganisms in the air of the operating room).
of a certain composition, taking into account the specifics of each operation.
(depending on the specifics of the operation, the body position may differ), and fixed to it with special straps to prevent accidental involuntary movements that would interfere with the operation, as well as to prevent accidental falling of the body from the table.
punctures a vein in the arm, installs a catheter to administer the necessary drugs, places electrodes on the body to monitor the electrical activity of the heart, puts a blood pressure cuff on the shoulder and a sensor on the finger to determine the oxygen content in the blood. All this is necessary for continuous monitoring of the body's condition during anesthesia and surgery.
the area of the body where the intervention is performed, and the specifics of the chosen surgical tactics, technique, etc.
After the operation, the patient wakes up in the ward for postoperative observation. If necessary, oxygen may be administered through a thin tube to ensure that the body has enough oxygen. The nurse will carefully monitor the patient’s condition and, if necessary, use medications agreed with the doctor.
Before returning home, the doctor will examine the postoperative sutures, agree on the tactics of further rehabilitation, and give additional advice.
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A combustiologist is a doctor who specializes in the diagnosis, treatment and recovery from burns. He or she assesses and treats burn injuries, prevents burn shock and electrolyte disturbances, and infections. He or she performs surgical interventions to remove damaged tissue and skin transplantation. A combustiologist is also responsible for the rehabilitation of patients after burns, including physical recovery and psychological support, and works to prevent and minimize complications such as burn disease, scars, and contractures.
The need to seek qualified medical care arises when the following burn symptoms occur: redness or discoloration of the skin swelling, pain, blisters with fluid, loss of the top layer of skin, bleeding open wounds, ulcers, dry area of dead tissue, general weakness and malaise, low blood pressure, fever and chills, changes in the state of consciousness, respiratory disorders, dehydration and electrolyte imbalance, infections, shock.
Skin transplantation may be necessary in the following cases of burn damage: deep 3rd degree burns, large burn area, if the burns do not heal for a long time, which can lead to loss of function, chronic pain or risk of infection, cosmetic and functional complications, etc. The decision to undergo skin grafting depends on many factors, including the patient’s age, general health, location and depth of the burn. This is always an individual decision made by the doctor based on the assessment of a particular case.
The guarantee for surgical treatment of burns applies to artificial grafts, implants and other medical consumables and equipment. It guarantees the provision of surgical treatment services in accordance with modern medical advances, the high level of qualification of the clinic’s specialists and the technical equipment of the clinic. The final clinical effect is influenced by many factors that depend not only on the doctor and the clinic, such as individual characteristics of the body, lifestyle, environmental circumstances, and stress factors.
Preparation for burn surgery includes a preliminary examination and consultation with a surgeon, a comprehensive examination with photo and video analysis of appearance, anthropometry, consultation with related specialists (if necessary), etc. Immediately before surgery, the principles of preparation do not differ significantly from those generally accepted in surgery.
Possible complications after burn surgery include general surgical complications (bleeding and thrombosis, infectious and inflammatory conditions) and more specific to this particular area (postoperative defects, etc.). Careful preparation for the operation, highly qualified experienced medical staff, modern high-tech equipment and coordinated work of the team of doctors and other clinic staff minimize the risks of complications.
Contraindications to burn surgery are conditions whose severity critically increases the risks of surgical treatment, such as infectious, mental, gastrointestinal diseases.
