Published : 31 March 2026

Comparison of Hospital Stay of Burn Patients Undergoing Early Tangential Excision and Delayed Tangential Excision in The Burn Unit of Cipto Mangunkusumo Hospital in 2023 - 2024

  • Aditya Wardhana
  • Fezza Uktolseja

Volume 13, Issue 1, (2026) Jurnal Plastik Rekonstruksi | Pages : 13-20

DOI: 10.14228/jprjournal.v13i1.39   Reader : 1 times PDF Download : 0 times

Abstract

Background: Burns remain a major challenge in plastic surgery due to their high mortality and morbidity. Tangential excision, a surgical procedure to remove necrotic tissue while preserving viable tissue, should be performed as soon as possible, as it has been shown to decrease hospital stay in burns ≤30% TBSA. While the benefits of early excision have been demonstrated in smaller burns, evidence is lacking for larger burns and in resource-limited settings such as Indonesia. This study aimed to compare hospital stays of burn patients who underwent early versus delayed tangential excision.
Methods: This was a retrospective cohort study that included burn patients who were discharged alive and who underwent early or delayed tangential excision between January 2023 and December 2024. Subjects were divided into two groups: early excision and delayed excision. Data were analysed using the Mann-Whitney test to assess differences in hospital stay between the two groups.
Results: A total of 100 patients were included in this study, consisting of 63 patients who underwent early tangential excision and 37 patients who underwent delayed tangential excision. The median TBSA was 29.5% (range 10–71%). The median length of hospitalisation in the early excision group was lower than in the delayed excision group, although not statistically significant (20 [5–49] vs 20 [7–66]; p=0.274).
Conclusion: Although no statistically significant difference was observed, the trend toward shorter hospital stay in the early excision group provides important preliminary evidence to guide national burn protocols.

Data Availability

All data generated during this study are included in this published article [and its supplementary information files].

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Keywords

  • Burns
  • Early tangential excision
  • Delayed tangential excision
  • Hospital stay

Author Information

Aditya Wardhana

Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia – Cipto Mangunkusumo General Hospital, Indonesia.

Email: aditya_wrdn@yahoo.com

ORCID : https://orcid.org/0009-0001-4587-7258

Fezza Uktolseja

Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia – Cipto Mangunkusumo General Hospital, Indonesia.

Email: fezza585@gmail.com

ORCID : https://orcid.org/0009-0000-8890-5741

Article History

Submitted : 25 June 2025
Revised : 25 June 2025
Published : 31 March 2026

How to Cite This

Wardhana, A., & Uktolseja, F. (2026). Comparison of Hospital Stay of Burn Patients Undergoing Early Tangential Excision and Delayed Tangential Excision in The Burn Unit of Cipto Mangunkusumo Hospital in 2023 - 2024. Jurnal Plastik Rekonstruksi, 13(1), 13–20. https://doi.org/10.14228/jprjournal.v13i1.39

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