Usage of intermingled skin allografts and autografts in a senior patient with major burn injury

Mortality rate in older adults following extensive burn injury is extremely high, and management of these patients is challenging. One of the main problems is that autologous split-thickness skin grafts are scarce and the wounds cannot be covered quickly and effectively. Intermingled skin grafting i...

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Autores principales:	Luo Hongmin, Bian Huining, Sun Chuanwei, Zheng Shaoyi, Xiong Bing, Huang Zhifeng, Liu Zuan, Ma Lianghua, Li Hanhua, Chen Huade, Lai Wen
Formato:	article
Lenguaje:	EN
Publicado:	De Gruyter 2021
Materias:	major burn injury senior patients intermingled skin allografts and autografts Medicine R
Acceso en línea:	https://doaj.org/article/25a48ffcff5e4d2bb15c48cda13b4d24
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spelling	oai:doaj.org-article:25a48ffcff5e4d2bb15c48cda13b4d242021-12-05T14:10:55ZUsage of intermingled skin allografts and autografts in a senior patient with major burn injury2391-546310.1515/med-2021-0395https://doaj.org/article/25a48ffcff5e4d2bb15c48cda13b4d242021-11-01T00:00:00Zhttps://doi.org/10.1515/med-2021-0395https://doaj.org/toc/2391-5463Mortality rate in older adults following extensive burn injury is extremely high, and management of these patients is challenging. One of the main problems is that autologous split-thickness skin grafts are scarce and the wounds cannot be covered quickly and effectively. Intermingled skin grafting is a low-tech and economic method, which not only maximizes the use of precious autologous skin but also prevents the wounds from infection and consumption. Herein we present a case of extensive burn injury in a 68-year-old female successfully treated with intermingled skin grafting. The patient was accidentally burned by gas flame, resulting in a major burn injury covering 80% of her total body surface area. Early burn wound excision was performed and the wound was temporarily covered with irradiated porcine skin in the first week after injury. Autologous stamp-like skin grafts were applied to the wound bed 4 weeks after injury. In this operation, the results were not satisfactory. The take rate of the skin grafts is only about 50%. We covered the wounds with intermingled skin allografts and autografts 8 weeks after injury: autografts (0.5 cm × 0.5 cm) + fresh close relative’s allografts (1 cm × 1 cm) + cryopreserved allografts (2 cm × 2 cm).Luo HongminBian HuiningSun ChuanweiZheng ShaoyiXiong BingHuang ZhifengLiu ZuanMa LianghuaLi HanhuaChen HuadeLai WenDe Gruyterarticlemajor burn injurysenior patientsintermingled skin allografts and autograftsMedicineRENOpen Medicine, Vol 16, Iss 1, Pp 1745-1748 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	major burn injury senior patients intermingled skin allografts and autografts Medicine R
spellingShingle	major burn injury senior patients intermingled skin allografts and autografts Medicine R Luo Hongmin Bian Huining Sun Chuanwei Zheng Shaoyi Xiong Bing Huang Zhifeng Liu Zuan Ma Lianghua Li Hanhua Chen Huade Lai Wen Usage of intermingled skin allografts and autografts in a senior patient with major burn injury
description	Mortality rate in older adults following extensive burn injury is extremely high, and management of these patients is challenging. One of the main problems is that autologous split-thickness skin grafts are scarce and the wounds cannot be covered quickly and effectively. Intermingled skin grafting is a low-tech and economic method, which not only maximizes the use of precious autologous skin but also prevents the wounds from infection and consumption. Herein we present a case of extensive burn injury in a 68-year-old female successfully treated with intermingled skin grafting. The patient was accidentally burned by gas flame, resulting in a major burn injury covering 80% of her total body surface area. Early burn wound excision was performed and the wound was temporarily covered with irradiated porcine skin in the first week after injury. Autologous stamp-like skin grafts were applied to the wound bed 4 weeks after injury. In this operation, the results were not satisfactory. The take rate of the skin grafts is only about 50%. We covered the wounds with intermingled skin allografts and autografts 8 weeks after injury: autografts (0.5 cm × 0.5 cm) + fresh close relative’s allografts (1 cm × 1 cm) + cryopreserved allografts (2 cm × 2 cm).
format	article
author	Luo Hongmin Bian Huining Sun Chuanwei Zheng Shaoyi Xiong Bing Huang Zhifeng Liu Zuan Ma Lianghua Li Hanhua Chen Huade Lai Wen
author_facet	Luo Hongmin Bian Huining Sun Chuanwei Zheng Shaoyi Xiong Bing Huang Zhifeng Liu Zuan Ma Lianghua Li Hanhua Chen Huade Lai Wen
author_sort	Luo Hongmin
title	Usage of intermingled skin allografts and autografts in a senior patient with major burn injury
title_short	Usage of intermingled skin allografts and autografts in a senior patient with major burn injury
title_full	Usage of intermingled skin allografts and autografts in a senior patient with major burn injury
title_fullStr	Usage of intermingled skin allografts and autografts in a senior patient with major burn injury
title_full_unstemmed	Usage of intermingled skin allografts and autografts in a senior patient with major burn injury
title_sort	usage of intermingled skin allografts and autografts in a senior patient with major burn injury
publisher	De Gruyter
publishDate	2021
url	https://doaj.org/article/25a48ffcff5e4d2bb15c48cda13b4d24
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Usage of intermingled skin allografts and autografts in a senior patient with major burn injury

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