The use of a collagen sponge/living cell composite material to treat donor sites in burn patients

被引:172
作者
Still, J
Glat, P
Silverstein, P
Griswold, J
Mozingo, D
机构
[1] Phys Multispecialty Grp, Augusta, GA 30914 USA
[2] St Christophers Hosp Children, Div Plast Surg, Philadelphia, PA 19133 USA
[3] Univ Oklahoma, Hlth Sci Ctr, Paul Silverstein Burn Ctr Clin Prof, Oklahoma City, OK USA
[4] Texas Tech Med Ctr, Timothy J Harnar Burn Ctr, Lubbock, TX USA
[5] Univ Florida Hlth Sci, Dept Surg, Shands Burn Ctr, Gainesville, FL USA
关键词
collagen sponge; bilayered cellular matrix; intent-to-treat;
D O I
10.1016/S0305-4179(03)00164-5
中图分类号
R4 [临床医学];
学科分类号
1002 [临床医学]; 100602 [中西医结合临床];
摘要
The objective of this study was to examine the safety and efficacy of bilayered cellular matrix, (OrCel(TM)) Ortec International, Inc., New York, NY in facilitating timely wound closure of split-thickness donor sites in severely burned patients. We utilized a matched pairs design; each patient had two designated donor sites of equivalent surface area and depth. Sites were randomized to receive a single treatment of either OrCel(TM) or the standard dressing Biobrane-L(R) (Bertek Pharmaceuticals) Sugarland, TX. The results demonstrate that OrCel(TM) was more effective in facilitating timely wound closure of split-thickness skin donor sites than Biobrane-L(R). The healing time for OrCel(TM) sites was significantly shorter than for sites treated with Biobrane-L(R). This acceleration of wound healing was clinically important in enabling earlier recropping. OrCel(TM) sites also exhibited reduced scarring. Therefore, treatment of donor site wounds with OrCel(TM) is well tolerated. promotes more rapid healing, and results in reduced scarring when compared with conventional therapy with Biobrane-L(R). (C) 2003 Elsevier Ltd and ISBI. All rights reserved.
引用
收藏
页码:837 / 841
页数:5
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