Evolution of skin grafting for treatment of burns: Reverdin pinch grafting to Tanner mesh grafting and beyond

Singh, Mansher; Nuutila, Kristo; Collins, Katherine; Huang, Ambrose J.

doi:10.1016/j.burns.2017.01.015

Cited by 60 publications

(30 citation statements)

References 26 publications

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“…Early excision is a gold standard in the management of deep burns, and subsequent soft tissue coverage is also essential in preventing the physiological consequences and bacterial invasion. 9,10 In this case, the use of Integra TM allowed for good coverage of the burns to the plantar aspect of the feet. The main advantage with Integra TM are the optimal scarring and lessened requirement for native donor tissue.…”

Section: Discussionmentioning

confidence: 95%

The use of IntegraTM as a novel technique in deep burn foot management

et al. 2018

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a b s t r a c tDeep burns in patients with co-morbidities carry a significant challenge for surgeons. The use of synthetic skin substitutes has played an increasingly important role in tissue reconstruction. Integra TM is an artificial dermal substitute that allows temporary coverage after burn excision. The main advantages of this bi-layered template are its immediate availability, optimal scarring and decreased requirement for donor tissue. However, the downsides are the requirement for complex wound care, risk of infection and two stage procedure that can be both costly and prolong the stay in hospital. Here, we present the case of a patient with deep burns to the plantar aspect of both feet. Given the patient's medical history of diabetes, hypertension and peripheral neuropathy, we elected to use Integra TM in combination with negative pressure wound therapy. Three weeks after the application of the Integra TM matrix, the surface layer was replaced with autograft. At discharge, the patient was fully ambulatory and six months post-operatively this status was maintained without significant graft breakdown. To the best of our knowledge, the use of Integra TM and split thickness skin graft in the management of full thickness burns to the plantar aspect of the feet has not been reported previously. Overall, our experience

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Section: Discussionmentioning

confidence: 95%

The use of IntegraTM as a novel technique in deep burn foot management

et al. 2018

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Section: Schleussinger and Lawrence 2018)mentioning

confidence: 99%

“…Analyzing the surgical lessions of Billroth and his practice, Reverdin observed that islands with epithelium sometimes formed in the center of the granulation tissue in patients with burns (Singh et al, 2017). He acknowledges that the appearance of these islands of epithelial tissue occurs in spots where the deep dermis layers have been spared and that these islands significantly accelerated healing (Montandon, 2015;Singh et al, 2017). Based on these analyzes, Reverdin expressed the theory that this process can be mimicked by placing small fragments of living epidermis on the surface of a granulating wound, with the idea that it stimulates the formation of granulation tissue islands (Ehrenfried, 1909;Klasen, 1981;Montandon, 2015).…”

Section: Schleussinger and Lawrence 2018)mentioning

confidence: 99%

“…Clinically, the lesion was suspected for spinocellular carcinoma. He acknowledges that the appearance of these islands of epithelial tissue occurs in spots where the deep dermis layers have been spared and that these islands significantly accelerated healing (Montandon, 2015;Singh et al, 2017). The formation in the right temporal region was surgically removed by an oval excision with a safety margin of 5 mm in all directions Analyzing the surgical lessions of Billroth and his practice, Reverdin observed that islands with epithelium sometimes formed in the center of the granulation tissue in patients with burns (Singh et al, 2017).…”

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confidence: 99%

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Reverdin skin grafting as adequate approach for squamous cell carcinoma of the temporal region

Temelkova

Lotti

Cardoso

et al. 2020

Dermatologic Therapy

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“…The grafts caused contractures that were no better than those formed around non-grafted wounds, which limited their usefulness, particularly around joints. The grafts also healed slowly, the new scar tissue was not resistant to physical stress, and the results were cosmetically unsatisfying [15].…”

Section: Wound Historymentioning

confidence: 99%

Studying the healing and long-term outcomes of two partial thickness wound models using different wound dressings

Karlsson

2019

Linköping University Medical Dissertations

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Background: Safe and effective wound dressing treatments are important for proper wound healing. Such procedures therefore need to be evidence-based regarding the most important outcome measures such as healing time, less discomfort for the patient, duration of hospital care and, importantly, less scarring. As the relation between longer healing times and more severe scarring is known, it is important to find dressing treatments that reduces such complications by providing fast and proper wound healing. In this thesis, four established wound dressing treatments (hydrofibre covered with film; porcine xenografts and polyurethane foam, with and without silver), were evaluated for two types of acute, partial thickness wounds: split thickness skin graft (STSG) donor sites and partial thickness burn wounds in two randomised, controlled clinical trials (RCT) with longterm scar follow ups. The relations between factors thought to influence wound healing and scarring as sex, infection, wound extent and depth, healing time and skin grafting were also investigated in these two wound models. Methods: Data from these trials were collected on sex, infection rates, wound depth and extent, need of skin grafting, healing times and scarring frequency together with demographic data. Scars were evaluated at 8 years in Study II and III and at 6 and 12 months after injury in Study V.

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Evolution of skin grafting for treatment of burns: Reverdin pinch grafting to Tanner mesh grafting and beyond

Cited by 60 publications

References 26 publications

The use of IntegraTM as a novel technique in deep burn foot management

The use of IntegraTM as a novel technique in deep burn foot management

Reverdin skin grafting as adequate approach for squamous cell carcinoma of the temporal region

Studying the healing and long-term outcomes of two partial thickness wound models using different wound dressings

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