Prologue in Severe Contractures Management: Advanced Procedures


Ergon Publishing


James Chang

Date Published: January 2018
Burn Contractures
The Lancet Commission on Global Surgery has reported that five billion people worldwide do not have access to safe and affordable surgery and anesthesia. This need for surgery is greatest in the poorest regions of the world – Western, Eastern, and Central sub-Saharan Africa, and South and Southeast Asia. The burden is extraordinary; lack of access to surgical care affects entire families and communities, not only individuals. Furthermore, with three billion people in developing countries relying on open flames and cookstoves for daily meals, burns are one of the leading causes of death and disfigurement. Burn contractures result from this lack of timely surgical treatment. When a patient suffers a burn and cannot receive timely treatment with debridement and skin grafting, his or her body will eventually heal, but by contracting joints until the wound closes. Severe Contractures Management Volume III is an outstanding new textbook edited by Dr. Alberto Musolas that directly addresses the overwhelming need for burn contracture reconstruction. Dr. Musolas and his colleagues, Drs. Pierre Quinodoz, Einar Eriksen, Satish Batta and Lionel Dumont represent the braintrust of Second Chance, a highly respected volunteer organization that teaches reconstructive surgery in at least twelve different countries in Africa. I have had a chance to read through this comprehensive textbook that covers burn contracture reconstruction from head to toe. It begins with the principles of operative techniques, outlines the unique Morphological African Skin Contractures Classification and Algorthm (MASCCA), and then describes optimal surgical treatment for contractures in each specific body region. The textbook ends with important details about post-operative pain management. I look forward to having this wonderful book with me when I embark on my own reconstructive work abroad in developing nations. This represents the collective experience of reconstructive surgery experts working on the most challenging cases, in the most limited settings. It is our collective hope and dream that we can teach surgeons around the world these proven techniques so that deserving patients may be liberated from their contractures, and returned to full and rich lives