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

1999, Number 2

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Cir Plast 1999; 9 (2)

Treatment of massive burns with meshed autografts covered with in vitro human allografts epidermal cultures. A case report

Cuenca-Pardo J, Álvarez-Díaz CJ

Language: Spanish
References: 10
Page: 78-82
PDF size: 558.61 Kb.


ABSTRACT

Massive burns are difficult to handle surgically due to the scarce availability of donor sites. Meshed grafts have been used with this purpose. Expansions greater than 3 to 1 may not epithelize losing the grafts or favoring retractile scars. The use of allografts of human epidermal cultures as temporary biological dressing accelerate the epithelization phase of wounds of partial depth thickness and graft donor sites. A case of a thirty-eight-year-old patient with massive burns that was treated with meshed grafts of partial thickness expanding at a range of 3 to 1 and 6 to 1 is reported, and frozen allografts of in vitro human epidermal cultures to cover the grafts, the areas of second depth degree burns and the graft donor sites, with satisfactory evolution by the complete epithelization between the mesh of the grafts, that enabled the widely affected zone to be covered, as well as the epithelization of the second depth degree burns and the donor sites. The quality of epithelization of the donor sites was good, allowing the re-use to take new grafts. The allografts of human epidermal cultures was useful in the management of the meshed grafts, second depth degree burns and of donor sites.


REFERENCES

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