Massive intraoperative blood loss and poor graft take have been the major problems associated with early excision and immediate grafting of full-thickness burns.
By employing electrosurgery, excessive blood loss was virtually eliminated in a series of major burn excisions. Immediate graft take was excellent on electrosurgical wounds after primary burn excisions and in late reconstructive procedures. Simplicity, improved hemostasia, good graft take, and the absence of special anesthetic requirements make this method particularly applicable to the management of patients with burn injury.
Lewis RJ, Quinby WC. Electrosurgical Excision of Full-Thickness Burns. Arch Surg. 1975;110(2):191-194. doi:10.1001/archsurg.1975.01360080057009