Can skin graft after burns, and is skin grafting surgery reimbursed by medical insurance after burns

For severe burn scars, the method of scald scars is generally surgery. For this type of burn scar, you can choose scar excision, fractional excision, post-excision skin sheet, transplantation, abrasion, tissue expansion and microsurgical techniques. Especially for large burns, tissue expansion or surgical grafting is generally used to scar.

Skin grafting surgery has a good effect on scalding repair, and if you choose the best hospital for surgery, it is almost impossible to easily find the traces of plastic surgery.

Skin grafting is the removal of a portion of one's own health (donor area) to cover the area where the scar has been removed (recipient area). The donor area needs to be supplied with new blood vessels in the recipient area to survive. In general, there is a high chance of successful autologous transplantation, but there is also a possibility that the skin graft will not survive.

In addition, all skin grafts will leave scars in the donor area, which is inevitable, and the surgery is to try to take the ** of the more hidden parts as much as possible, and make the scar less obvious after cosmetic suturing.

For larger scars, skin grafting is an option, and the skin graft must be taken from the patient's own body, and the skin must be taken as much skin as the size of the skin is planted. Skin grafting is reliable, but there are disadvantages such as color differences and scar contractures. Flap surgery or dilator surgery can also be used for small scars, which is more effective, but the technical requirements are higher.

After skin grafting surgery, the scar becomes soft and flat, and the congestion subsides, and the effect is better. Skin grafting techniques for plastic surgery are basically free of cosmetic barriers, and some of them are not easy to detect because they are not indistinguishable from the surrounding non-traumatic skin.

Generally, the best time for skin grafting after scalding is to recover from the wound for at least half a year after the burn, and surgical skin grafting can only be considered after the scar congestion has subsided, the red color has subsided, there is a little pigmentation, there is no itching, and the scar has softened. The cost depends on the size of the scar. Whether repeated skin grafting is required also depends on the degree of burns and the size of the area.

Experts recommend that patients with burns go to a regular plastic surgery hospital**, and let a professional skin graft doctor formulate a specific skin graft plan for you, so as to ensure the success of skin grafting.

Many plastic surgeries cannot be done at one time, one part at a time, you must know that the surgery is also traumatic, and the cost is different for different levels of hospitals and different regions, so it is difficult to say. Implanted dilator is to embed a water bladder, regularly inject water, expand the scar around the **, take it out after more than 40 days, remove the scar, and cover it normally, it is recommended to visit the local burn plastic surgery hospital to have a definite answer.

If the skin graft is due to a medical condition, it can be reimbursed by health insurance. If you need skin grafting surgery due to illness, it should be within the scope of medical insurance payment. The unit participates in social security, and there is a medical insurance co-ordination ** to pay nearly 80% of the basic medical expenses, and the unit generally does not reimburse separately.

Article 28 of the Social Insurance Law.

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

Article 29.

The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.

The social insurance administrative department and the health administrative department shall establish a system for settling medical expenses for medical treatment in other places to facilitate the enjoyment of basic medical insurance benefits by insured persons.

First of all, this is not a burn caused by yourself, if it is a burn caused by you, you cannot claim compensation, and all legal consequences need to be borne by you alone. Second, if it is someone else's responsibility, but you also have a certain responsibility, in this case you can claim additional compensation, but in view of this, both parties have a certain fault, this compensation will not be too high, because you also need to bear part of the responsibility The third is the full responsibility of the other party, then you can apply for additional compensation, the above is my reply, I hope mine is helpful to you, I wish you a happy life.

The recovery period after a burn graft is always peeling, which is normal.

In this case, if it is superficial** desquamation, it is normal, because the elderly ** are drier after skin grafting, and if it is straight** to take off, it is abnormal.

Frequent peeling is more serious, but also consider whether there is a problem of fungal infection, can continue to do the basic examination of the relevant aspects, and whether there are allergic symptoms.

In fact, the sequelae after skin grafting are actually the sequelae caused by burns in many cases, and the sequelae of skin grafting itself are actually not too much. The sequelae of burn skin grafting include scar hyperplasia, deformity, dysfunction, pigmentation, and affect development, which are relatively common. Scar hyperplasia after deep burns, or other problems, are mostly pre-existing burns themselves, and are not completely blocked after skin grafting, or some of them are partial.

The later stage of burn injury includes the sequelae of skin grafting, the most serious is the developmental disorder caused by scar hyperplasia contracture after pediatric burns, and the severe can lead to claw-shaped hands or fist-like hands, as well as crooked fingers, the most serious is that the fingers are all there, but the hand is not functional. Foot burns also have this problem, such as after severe foot burns, the foot is round like a potato in the end, and it is impossible to distinguish where the toes are, and the hallux and little toe are not easy to distinguish, which has a great impact on the child's later function, development, and physiology. Now the more formal method can effectively avoid the appearance of these deformities.

It is normal for the recovery period after burn skin grafting to be repeated peeling.

Recovery after burn skin grafting is divided into generalized recovery and narrowly defined recovery. Broadly speaking, the recovery of burn skin grafting is a very long process, first of all, the healing of **, which brings about the hyperplasia of scars, including functional exercises in the later stage, which is divided into two types. Healing in the narrow sense is how long it takes to heal, generally about 3 days after skin grafting, after the plasma exudation makes ** reach adhesions, there will be capillary infiltration, and ** initial establishment of blood vascularity.

Generally, by 5-7 days, after establishing a firm relationship with basal blood vascularity, it can be said that it has healed, but it is also a case-by-case analysis.

Skin grafting is also divided into thickness, if the thickness of the skin graft is relatively thin, it has healed in 5-7 days. If the skin graft is medium or full thick, it will heal in 5-7 days, but the adhesion to the substrate is not very strong, which is different. Broadly speaking, it usually heals in 5-7 days after early skin grafting.

Late healing is more or less depending on the surgery, the skin grafting method is different, the skin graft site is different, the scar hyperplasia is also different, if the blade is thick, the scar will occur about 2-3 weeks after the operation, which will lead to keloid contracture, and it will generally last for about half a year to achieve healing.

1.From the course of the injury and the outside of the wound**, the wound belongs to the third degree.

2.Small third-degree wounds, surgical** and conservative** are fine. In the case of surgery, the time is short, the scar is light, the pain is small, and the function can be restored as soon as possible, so surgery is generally recommended**.

3.If you are conservative, you can use some drugs to remove saprophytic muscles, bandage and change the dressing, wait for the necrotic tissue to gradually fall off, after the fresh granulation is formed, the surrounding ** gradually grows in, and the wound can heal slowly, but the time will be very long, and you need to insist on changing the dressing. Options include Zhenshi burn ointment, etc.

4.Do not use Mabel before this type of wound.

Ning Fanggang of Jishuitan Hospital.

No, mutton is a hair product and is not suitable for consumption after surgery.

According to the performance of the hair, it is divided into six categories:

One is heat-generating things, such as shallot, ginger, pepper, pepper, mutton, dog meat, etc.;

the second is windy things, such as shrimp, crabs, geese, eggs, Tsubaki sprouts, etc.;

the third is damp and hot things, such as starch sugar, glutinous rice, pork, etc.;

Fourth, cold accumulation, such as watermelon, pear, persimmon and other raw and cold products;

fifth, it is to activate blood things, such as sea pepper, pepper, etc.;

Sixth, things that stagnate qi, such as mutton, lotus seeds, seeds, etc.