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Article
May 1928

LATE TREATMENT OF BURNS

Arch Surg. 1928;16(5):979-999. doi:10.1001/archsurg.1928.01140050003001
Abstract

In a previous communication we discussed the immediate treatment for cutaneous burns. We concluded that treatment with tannic acid excelled other known methods, for the following reasons: (1) It diminishes pain; (2) it prevents fluid depletion; (3) it decreases toxemia, and (4) in first and second degree burns, it allows epithelization to proceed while the membrane is in place.

This splinting of the granulation tissue by the rigid tannic acid membrane while epithelization is in progress seems to prevent contractions of the scar tissue (figs. 1, 2 and 3).

During the past two years, we have had the opportunity to treat several patients with severe burns, and we have learned some aids in late treatment which may be of value. We wish to review briefly the early treatment of burns by tannic acid, and then to discuss the following factors that occur after the primary treatment: (1) infection beneath the

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