Repair of excised burn wound with microskin grafting covered by autologous burn eschar.
- Author:
Xiao-wu CHEN
1
;
Li WAN
;
Xu-feng LIAO
;
Jing HUANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Burns; surgery; Feasibility Studies; Female; Graft Survival; Humans; Male; Reconstructive Surgical Procedures; Skin Transplantation; methods; Surgical Flaps; Transplantation, Homologous; Wound Healing
- From: Chinese Journal of Burns 2005;21(2):111-113
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the feasibility of autologous burn eschar as the coverage of microskin grafting in the repair of excised severe burn wounds.
METHODSTwelve severe burn patients underwent massive escharectomy during 3 to 7 post burn days (PBD), and autologous eschar instead of alloskin was employed as the coverage of microskin. The integrity of grafted eschar and survival of microskin grafts were observed at 1 to 6 weeks after operation. The wound healing rate in grafted area was determined at 6 post operation week (POW), and the wound healing time was recorded.
RESULTSThe autologous eschar in the grafted area were integral and attached tightly to the wound during the 1 to 2 POW and began to dry and detach from the burn wound with the microskin underneath growing and fusing at 3-4 POW. This process went on until the eschar was completely detached from the burn wound and the microskin fused in large areas, with some granulation wounds left at 5 and 6 POW. The wound healing rate at the 6 POW was (87 +/- 4)%. The average wound healing time of burn patients in this group was (56 +/- 8) days.
CONCLUSIONAutologous eschar could be used as a substitute for the alloskin for microskin grafting in excised burn wounds.
