To tell the truth, if the burn wound can heal naturally, then repair it yourself. As a doctor in the burn department, he only plays an auxiliary role, so that the wound has a good environment for self-repair and prevents other complications.
Whether to leave a scar or not was actually decided at that time. As long as there are no complications and no medication, superficial second-degree wounds can be healed within 2 weeks, leaving no scars after healing (so I don't appreciate those so-called "famous doctors" who care about leaving no scars on burn wounds). However, for deep injuries above Grade II, the time will exceed 2 weeks, depending on the depth. If it exceeds III, the diameter of the wound exceeds 2cm, and it is very likely that it will not heal itself. Even if it barely heals, it will leave a thick scar, which will affect the appearance and function.
Your child burns 30%. I don't think it can be all shallow II-degree wounds, but there will be deep wounds (I hope there are no III-degree wounds), and the natural healing time of deep wounds will definitely be longer. The reason why doctors suggest skin grafting is that I hope your child will heal faster and reduce the pain; Secondly, skin grafting can reduce the impact of scar hyperplasia on function and appearance in the future, mainly to reduce the impact on function, because skin grafting also has its shortcomings, such as the color of skin grafting area is inconsistent with the surrounding area, skin grafting area has different degrees of contracture, skin area has scars and so on. If your child's injury can't heal itself, I estimate that you will eventually take the road of skin grafting; If it can barely grow well, it will grow well after 2 weeks, and it will also leave scars. If it has a serious impact on the function and appearance, surgery and plastic surgery are inevitable in the future. In addition, to correct a misunderstanding, if anesthesia has an impact on intelligence, then everyone who has had surgery should be a fool.
Dear friends upstairs, I am also a doctor in the department of burn and plastic surgery. I have encountered many similar situations, but most patients come back for surgery after leaving the hospital for a period of time. There are also those who resolutely disagree with the operation at first, and then grow up and ask for surgery. After the operation, they regret not agreeing to the operation earlier. However, I don't blame the patient and have no prejudice against him. Facts will always tell. Now the doctor-patient relationship is tense and patients don't trust doctors. I feel tired after working for 7 years. But as a doctor, I will try my best to do what I should do and have a clear conscience; As for how the patient chooses, it is his own freedom. I hope they won't pay too much for it.