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KMID : 0853020100130020105
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Journal of Korean Burn Society
2010 Volume.13 No. 2 p.105 ~ p.110
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Use of SureDermTM in the Skin Graft of Full Thickness Burns
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Choi Dong-Hwi
Kim Se-Yeon
Lee Joo-Bong
Jeong Cheol-Soo
Huh Gi-Yeong
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Abstract
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Purpose: Split-thickness skin grafts (STSG), as a treatment of full thickness burn have played a significant role in re-surfacing to date. The major disadvantage of traditional STSG is related to donor site morbidity, including scar formation and cosmetic changes. SureDermTM is acellular human dermis, which is intended for the repair or replacement of damaged soft tissue. Then, we present our experience of using SureDermTM as a tool for the skin graft of full thickness burns.
Methods: We reviewed the medical records of 20 patients treated in our burn center who received SureDermTM graft with thin STSG in full thickness burns since November 2006 to October 2008.
Results: SureDermTM was used with thin STSG (range 0.006∼0.008 inches) concurrently. Thickness of SureDermTM was 0.2∼0.4 mm and the type of SureDermTM was meshed. The average size of SureDermTM used in the burn patients was 329.6 cm2 (32∼1,384). All burn areas grafted SureDermTM were full thickness burns and the locations were upper and lower extremities including joints (8 and 6 cases), trunk (3 cases), ankle (2 cases), and axilla (1 case). Each SureDermTM grafted area had more than 95% take-rate. No complications were observed except 1 case of partially infected STSG. The mean follow up period was 8.7 months (1∼17), and the assessment of scars, which had more than
six months follow up periods was performed by Modified Vancouver Scar Scale and the results were good.
Conclusion: SureDermTM can be used as a dermal substitute for the treatment of full thickness burns and the result seems to be good cosmetically and functionally while it solves donor site morbidity followed by autograft.
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KEYWORD
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Full-thickness burn, SureDermTM, Split-thickness skin grafts
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