GRAFTING STRATEGY AND MEDICAL OPTIMIZATION OF AN IMMUNOSUPPRESSED BURN PATIENT

Objectives: The literature looking at optimal surgical sequence and treatments for immunocompromised patients who are burned is limited. Immunosuppression has a well-known negative impact on wound and burn healing, and risks should be strategically mitigated perioperatively. Here the authors present medical and operative management of a severely immunosuppressed presenting with graft failure after prior grafting of burn sites. Autografting should always be carefully planned. The authors propose considering a staged approach in treating burn patients with antecedent immunocompromised allowing for careful optimization of modifiable variables prior to definitive autologous grafting.

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