Post-operative care and follow-up
Authors: Rami Mossad Ibrahim, MD, Elisabeth Lauritzen, MD, Frederik Gulmark Hansen med.stud., Magnus Balslev Avnstorp, MD and Rikke Holmgaard, MD, PhD
The patient can be sent home for outpatient follow-up at his/hers general practioner or in the outpatient burn clinic. The dressing should be left untouched for 10 days unless there is leakage or signs of infection. But after less damage is expected to heal within 14 days this is not so important.
After 3-4 days the dressing is changed. Either completely or at least until the jellonet gauze. Then the wounds are wrapped again with vaseline gauze (or other similar wound contact layer), but with a smaller amount of suction gauze at the outer end, as the wounds do not produce a lot of fluid anymore. This allows the patient to achieve functioning of the hands and fingers again.
At the department of Plastic Surgery and Burns treatment Rigshospitalet, the burns are scanned (Using LDI) on about the 3rd day to assess the exact depth of the burn, after which the wounds are wrapped with Mepilex transfer Ag at the bottom).