Send to:

Choose Destination
See comment in PubMed Commons below
Burns. 2013 Nov;39(7):1420-2. doi: 10.1016/j.burns.2013.03.010. Epub 2013 Jun 3.

The enhanced total body wrap--the new frontier in dressing care for burns.

Author information

  • 1Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital (SGH), Outram Road, Singapore 169608, Singapore.


The management of extensive burns with their associated high fluid exudate following burn excision and skin grafting has always posed a challenge in burn wound care. The ideal dressing should protect the wound from physical damage and micro-organisms; be comfortable and durable; allow high humidity at the wound; and be able to allow maximal activity for wound healing without retarding or inhibiting any stage of the process. The dressing technique described in this paper fulfils all the criteria above and at the same time provides an efficient channel to effectively clear the excessive exudate produced while keeping the wounds moist. Advantages conferred include accurate charting of wound exudate; reduced frequency of dressing changes; lower infection rates through prevention of strike-through; and securing and improving the viability of skin grafts. An enhancement to a technique previously described by us through the use of long thin strips of VAC sponges to transmit negative pressure, the enhanced Total Body Wrap aims to provide ideal conditions to promote healing in burns. Using negative pressure wound therapy (NPWT), this technique is simple and straightforward enough to be applied in majority of tertiary centres around the world.

Copyright © 2013. Published by Elsevier Ltd.


Burns; Negative pressure wound therapy; Polyurethane dressing; Total Body Wrap; Vacuum assisted closure

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk