Health information on burns -
[Cached Version]
Published on: 3/27/2002
Last Visited: 12/26/2005
"The problem is, we've never had an optimal way to do it," says Jerold Kaplan, M.D., director of the burn centers at Alta Bates Hospital in Berkeley, Calif., and at Children's Hospital in nearby Oakland.The need to cover wounds as quickly as possible while minimizing scarring and additional trauma has driven development of advanced wound dressings and skin substitutes.Kaplan treated the 68-year-old California man's wounds with Integra Artificial Skin Dermal Regeneration Template, from Integra LifeSciences Corp., Plainsboro, N.J. "Integra is a significant addition to the armamentarium of the burn surgeon," Kaplan says, and other surgeons agree.
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"The ability to have the donor site be very thin and heal in just a few days is the big benefit," says Kaplan.
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"The problem here is you're putting on epidermis and not dermis," Kaplan says.
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"It's like gossamer," Kaplan says.And something has to cover the wound in the meantime.That's where Kaplan and others see a potentially useful combination.The patient's epidermis could be cultured during the two to three weeks while Integra's dermal layer becomes a suitable bed for grafting."They're complementary," says Kaplan.