It is not actually scraping, but bathing (Hydrotherapy) to soften the scabbing (Eschar) that occurs, then sponge off the softened Eschar, can be very painful depending on the type of burn. This procedure comes after the initial debridement which is much more invasive and painful, and done for different reasons than scaring minimization.
Hydrotherapy as a mode of treatment for burns has been advocated or criticized by several authors, and undoubtedly it is widely used. We can'scarcely imagine a Burn Unit without a properly equipped hydrotherapy room.
We agree with Yang Chih (1982), Carvajal (1988) and Craig (1982) in considering the purposes of hydrotherapy to be:
to enhance desloughing and to clean the wound surface;
to drain pus and to help debride;
to alter microbial flora;
to enhance healthy tisue formation and healing;
to facilitate physical therapy; and
to comfort and psychologically uplift the patient.
Does not really prevent scarring but promotes proper healing giving it the best chance of less scarring.
May not be performed on all burn patients, depends on the severity of the burn and area covered.
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