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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2003, Number 1

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Cir Plast 2003; 13 (1)

Mesh graft 1 to 6 covered with epidermal cultured allografts for burnt bloody areas

Cuenca-Pardo J, Álvarez-Díaz CJ

Language: Spanish
References: 10
Page: 13-17
PDF size: 128.09 Kb.


ABSTRACT

The objective of this study was to determine the difference in the clinical evolution of the burnt bloody areas treated with 1:6 mesh autografts covered with cultured human epidermal allografts, compared with those covered with petrolatum gauze. In the Burn Unit of the “Dr. Victorio de la Fuente Narváez” Traumatology Hospital of the IMSS, 13 patients aged between 18 and 40 years were studied with an average of 30.8 ± 8.1 of with secondary burnt bloody areas, covered with mesh autografts with an expansion 1:6. The area was divided randomly in two: one part was covered with cultured epidermal allografts (Group I) and the other with gauze with petrolatum (Group II). The time of epithelialization for Group I was 6.9 days and for Group II, 13.6 days, with a difference of 6.7 (p < 0.001). Group I did not have residual bloody areas, while Group II had 6 cases with residual bloody areas that required new grafts (p < 0.001). We concluded that cultured human epidermal allografts favor and accelerate epithelialization between the mesh of the expanded autografts in a proportion of 1:6, avoiding their loss with a prompt epithelialization between the mesh. Therefore it turns out to be a useful procedure in the treatment of extensive burns, where a limited quantity of skin grafts donor areas is available.


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