The Policy of our Clinic in Early Escharectomy in Burns of the Hand.

Early escharectomy in deep partial- and full-thickness burns of the hand has proved to have an advantage over late surgical treatment. It provides an improved functional and cosmetic result. Hand deformities, the need for secondary reconstructive procedures, and morbidity are significantly reduced. In our clinic we prefer to use early escharectomy in all full-thickness burns of the hand unless the patient's condition prevents it or unless the extent of the burns in the rest of the body would prevent improvement in the general outcome.