DOI: https://doi.org/10.36347/sasjs.2025.v11i04.002

Pages: 426-430

Background: Burn injuries are a major global health issue, causing significant morbidity and mortality, especially in low- and middle-income countries. They often lead to complications such as contractures, scarring, pigmentation and changes, affecting the patient's quality of life. The healing process can result in fibrotic tissue deposition, causing functional and cosmetic impairments. Hypertrophic scars and contractures are common sequelae due to excessive collagen deposition. Management involves surgical approaches, such as skin grafting and flap surgery, and non-surgical methods, such as pressure garments and laser therapy, to improve outcomes and prevent complications. Aim of the study: This study aims to evaluate the effectiveness of surgical interventions in managing post-burn sequelae, focusing on functional and aesthetic outcomes. Methods: This prospective observational study was conducted in the Burn and Plastic Surgery Department, Dhaka National Medical College and Hospital, Dhaka, Bangladesh over 12 months from January to December 2018, involving 95 burn cases. Ethical approval was obtained, and informed consent was secured from all participants. Inclusion criteria comprised patients aged ≥10 years with post-burn sequelae, while exclusion criteria involved those with acute burns or severe comorbid conditions. Data were collected using structured sheets, patient interviews, medical records, and physical assessments. Surgical approaches, including skin grafting and contracture release, were evaluated for efficacy based on mobility, scar reduction, and complications using SPSS for data analysis. Result: The study identified common post-burn complications, including scar contractures (68.42%), hypertrophic scars (10.53%), and pigmentation changes (9.47%). Surgical interventions such as skin grafting (31.58%) and flap surgery (15.79%) were frequently performed to address severe scarring and contractures. Treatment outcomes were generally positive, with 63.16