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Abstract The primary surgical objective in the treatment of burn wounds is to el iminate the nonviable tissue and to close the ’ open burn wound promptly $0 that the septic, metabol ic and functional effects that accompany the open colonized burn wound will be avoided thus decreasing morbidity and improving survival. The nonviable burn eschar can be removed by early surgical , burn excision and the excised wound closed immediately by autograft if there is available donor sites. If donor sites are not available to close the whole open burn wound, the wound is closed by biologic dressings or s yn t h et t c skin substitutes until donor sites become ready for reharvesting. The wound can also be closed permanently by cultured epidermis or skin. Biologic dressings include allografts, amni’otic membranes and xenografts. Allograft is the most frequently used and most effective biologic dressing. It forms the ”gold standard” by which other dressings are compared. Amniotic membranes enhance fe-epithelialization in partial thickness burn. Their ready av a t l ab il i t y , large size and lack of cost make them more desirable biologic dressings. Heterograft provides a readily available, easily stored and sterilized dressing. The only xenograft in common use is porcine skin. |