دورية أكاديمية

Thin Split Thickness Skin Grafting on Human Acellular Dermal Matrix Scaffold for the Treatment of Deep Burn Wounds.

التفاصيل البيبلوغرافية
العنوان: Thin Split Thickness Skin Grafting on Human Acellular Dermal Matrix Scaffold for the Treatment of Deep Burn Wounds.
المؤلفون: Ayaz, M., Najafi, A., Karami, M. Y.
المصدر: International Journal of Organ Transplantation Medicine; 2021, Vol. 12 Issue 1, p44-51, 8p
مصطلحات موضوعية: SKIN grafting, ELECTRICAL injuries, GRAFT rejection, WOUNDS & injuries, HYPERTROPHIC scars, BRAIN death
مستخلص: Background: Use of AlloDerm™ is highly suggested for the treatment of deep burns and burn sequela reconstruction. Scar formation and contracture are recognized as long-term consequences of split-thickness skin autografting, which is applied for full-thickness burn injuries. Mature fibroblasts, in the absence of dermis, seem to secrete collagen in the reformed scar pattern. Objective: To process AlloDerm™ from fresh allograft and use it as a dermal substitute for covering deep wounds in burn patients and evaluate its effectiveness. Methods: In this case-series, 7 patients with deep burn wounds involving different locations on the body surface were exposed to combined AlloDerm™ (processed from fresh human allograft) with thin split thickness skin autograft on it. On the 5th post-operative day, wound dressings were changed to evaluate the graft survival with the human acellular dermal matrix scaffold. To determine the skin profiles, followups continued for at least 6 months. Results: The results showed excellent graft take, good elasticity, acceptable thickness, and little contracture and scarring according to fix surgeon assessment in 6 patients. Graft rejection happened only in one patient with chronic electrical injury. Conclusion: AlloDerm™ derived from cadaver skin and combination of it with thin split thickness skin auto grafting constitute a cost-effective and favorable option for the treatment of deep burn wounds in our center, considering the increased tendency of the population towards organ donation in the event of brain death. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index