A haemostatic technique using silicone gel dressing for burn surgery.

Over the past 30 years, enhancement of critical care and strategies of early excision have improved survival following severe burn injury. Despite these advancements, massive bleeding still remains a challenging problem in burn surgery. Tourniquet application, topical and/or subcutaneous epinephrine, topical thrombin, and fibrin sealant are used to minimize bleeding. However, we have not established the best hemostatic practice in burn surgery, so far. In this chapter, we introduced a new technique using silicone gel dressing to limit blood loss, especially during tangential excision in burn surgery. This technique is a powerful yet simple procedure to stop bleeding.