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
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Lenguaje:EN
Publicado: De Gruyter 2021
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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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