Role of indigenous Bilaminar dermal regeneration template in the management of degloving injury

2020 ◽  
Vol 2 (3) ◽  
pp. 01-03
Author(s):  
Ravi Chittoria

Various modalities of treatment options and dressing materials are available in today’s era of medical advancement. A lot of newer dressing materials and adjuncts are in use for burn wound management. Bilaminar dermal regeneration template has been in use since the 1980s but owing to its high cost, its affordability and availability in third world developing countries is questionable. Here we have described our experience with the use of an indigenously made cost effective dermal regeneration template made from available materials in degloving injury raw area.

Author(s):  
Ravi Kumar Chittoria ◽  
Neljo Thomas ◽  
Padmalakshmi Bharathi Mohan ◽  
Shijina Koliyath ◽  
Imran Pathan ◽  
...  

Different methods of treatment options and dressing materials are available in today’s era of medical management of wounds. Trilaminar dermal regeneration template (TDRT) has been in use since the 1980s but owing to its high cost, its affordability and availability in third world developing countries is sparse. Here we have described our experience with the use of an indigenously made cost effective dermal regeneration template made from available materials in management of burns


Cancers ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 1555 ◽  
Author(s):  
Paul Span ◽  
Jan Bussink

Radiotherapy is given to a majority of patients with cancer, and remains one of the most (cost)effective treatment options available [...]


2003 ◽  
Vol 12 (3) ◽  
pp. 113-118 ◽  
Author(s):  
A.B.G. Lansdown ◽  
S.R. Myers ◽  
J.A. Clarke ◽  
P. O'Sullivan
Keyword(s):  

2021 ◽  
Vol 6 (2) ◽  
pp. 41-45
Author(s):  
Kwesi Okumanin Nsaful ◽  
Stephane Gentil

Introduction: The vacuum-assisted closure (VAC) has proved to be very promising in the management of difficult to heal wounds. However, the first reports about the use of negative pressure wound device came from Argenta and Morykwas in the year 1997. Though there are various commercially prepared and manufactured vacuum assisted closure dressing materials, these are often unavailable or unaffordable to patients in third world countries. Our “homemade” vacuum dressing has been found to be, affordable for our patients and most importantly effective in wound management. Materials and methods : The homemade Vacuum Assisted closure dressing was used for the management of some wounds which presented at our centre. These wounds were irrigated and thoroughly debrided. Our homemade vacuum assisted closure dressings were subsequently applied. Results: The wounds healed well with good granulation tissue. Subsequent split thickness skin graft (SSG) done had very good take. The VAC dressing often resulted in good wound contraction with no need for SSG. Conclusion: In our practice our “home made” vacuum which was affordable and customized proved to be effective in wound management.


2016 ◽  
pp. 595-602
Author(s):  
Ravikumar Gopalakrishnan ◽  
Subbulakshmi Rajendran ◽  
Naveen Ravikumar ◽  
Sugapradha Ravikumar
Keyword(s):  

2012 ◽  
Vol 153 (34) ◽  
pp. 1351-1355 ◽  
Author(s):  
Csaba Halmy ◽  
Zoltán Nádai ◽  
Gergely Tamás ◽  
Tamás Kassai ◽  
Róbert Tamás

Authors report the application of Integra dermal regeneration matrix in 10 patients in 12 indications (ages 25–74 years, 6 female and 4 male patients). The smallest reconstructed area was 6 cm2, the largest was 500 cm2. Skin coverage was needed on the lower arm in two patients, on the lower arm and the hand in two patients and on the hand in six patients. Skin grafting onto the neodermis was made on days 19–25. The take rate of Integra was equal or higher than 97%, and the take rate of the skin graft was equal or higher than 90%. Integra dermal regeneration template proved to be suitable for the management of complex wounds on the hands and upper extremities. Orv. Hetil., 2012, 153, 1351–1355.


2017 ◽  
Vol 33 (1) ◽  
pp. 79-94 ◽  
Author(s):  
Parin U Kadakia ◽  
Emily A Growney Kalaf ◽  
Andrew J Dunn ◽  
Laurie P Shornick ◽  
Scott A Sell

A primary aim in wound-healing research is to construct an inexpensive, biodegradable dermal regeneration template with heightened moisture retention and permeability properties. The presence of moisture is important for optimal burn wound healing as it creates an environment for re-epithelialization and minimizes the risk of infections. Permeability can be achieved through a process known as electrospinning. This scaffold fabrication technique creates a mat of randomly oriented nanofibers that can readily mimic native extracellular matrix. Novel electrospun silk fibroin scaffolds were fabricated with poloxamer 407 (P407) and Manuka honey additives for a burn wound dermal regeneration template application. Enhanced human dermal fibroblast adhesion and cell infiltration were observed with the inclusion of P407, and scaffolds incorporated with Manuka honey demonstrated increased water uptake and a higher cell density within the scaffolds at the end of a 28-day period. Overall, this study established that both the silk fibroin/P407 and silk fibroin/Manuka honey scaffolds have the potential to be successful dermal regeneration templates, with P407 increasing surface wettability and Manuka honey modulating moisture retention.


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