annual meeting of Czech Burn Society took place in Zastávka u Brna
on October 18–19,
2007. It was organized by the Department of Burns and Reconstructive
Surgery, University Hospital in Brno on the 25th
anniversary of its foundation.
reprinting some of the presentations from this conference, it is
perhaps worth to consider what has changed for our patients and for
us over the last quarter century Đ and what remained unchanged.
Department of Burns and Reconstructive Surgery, University Hospital
in Brno, is an integral part of the Czech Medical Care System and
also a part of Czech Burn Medicine.
foundation was planned after World War II, together with the
facilities in Prague, Ostrava, Bratislava and Košice. The final
decision was made after two explosions in a Brno heating plant
causing more than twenty burn casualties.
1982 the Burn Centre was incorporated into the Trauma Surgery
Hospital on Pon‡vka Street, and in November 1989 it moved to the
new University Hospital in Bohunice. In 1990 the children’s
department was opened, and in 1995 the department of reconstructive
surgery was added to accommodate patients needing this type of
a result of satisfying research and teaching activities, the Centre
of Burns and Reconstructive Surgery was promoted to a Department of
the Medical Faculty, Masaryk University in Brno, in 2001.
from the status, the prognosis of our patients has changed positively
at the meantime. Patients with about 40% of total body surface area
burns had a 50% chance to survive then, compared with about 70% now.
Severe inhalation injury had almost 100% mortality then, while the
patients involved have good chances now. Metabolic changes are much
better understood and corrected now than 25 years ago. The techniques
of skin replacement and of rehabilitation are more sophisticated,
increasing the quality of life after severe burn injury
has not changed much is the good position of Czech burn medicine in
Europe and in the world, with very frequent contacts with the leading
institutions and personalities, as well. Fortunately.
also has not changed dramatically are the results of our struggle
with burn infection, where the success is not permanent and our
vigilance must be high all the time.
finally, our permanent financial limitations and lack of long-term
clear perspective has not changed in contrast with increased
administrative burden many of us face. Unfortunately.
that not everything is ideal, the development of those 25 years has
still been positive. In fact, very positive with respect to personal
freedom, the opportunity to travel, the availability of scientific
this trend will continue in the next decades after the transformation
of the Czech Medical Care System.
Pavel Brychta, M.D., CSc.
of Department of Burns and Reconstructive Surgery