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Journal ArticleDOI

Multicenter postapproval clinical trial of Integra dermal regeneration template for burn treatment.

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TLDR
The safety and effectiveness of Integra Dermal Regeneration Template was evaluated in a postapproval study involving 216 burn injury patients and further supports the conclusion that Integra is a safe and effective treatment modality in the hands of properly trained clinicians under conditions of routine clinical use at burn centers.
Abstract
The safety and effectiveness of Integra® Dermal Regeneration Template was evaluated in a postapproval study involving 216 burn injury patients who were treated at 13 burn care facilities in the United States. The mean total body surface area burned was 36.5% (range, 1-95%). Integra® was applied to fresh, clean, surgically excised burn wounds. Within 2 to 3 weeks, the dermal layer regenerated, and a thin epidermal autograft was placed. The incidence of invasive infection at Integra®-treated sites was 3.1% (95% confidence interval, 2.0-4.5%) and that of superficial infection 13.2% (95% confidence interval, 11.0-15.7%). Mean take rate of Integra® was 76.2%; the median take rate was 95%. The mean take rate of epidermal autograft was 87.7%; the median take rate was 98%. This postapproval study further supports the conclusion that Integra® is a safe and effective treatment modality in the hands of properly trained clinicians under conditions of routine clinical use at burn centers.

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A review of tissue-engineered skin bioconstructs available for skin reconstruction

TL;DR: Those materials already commercially available for clinical use as well as to give a short insight to those under development are described to provide skin scientists/tissue engineers with the information required to move closer to achieving the ultimate goal of an off-the-shelf, complete full-thickness skin replacement.
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Burn wound healing and treatment: review and advancements

TL;DR: Recent advancements in the care of burn patients with a focus on the pathophysiology and treatment of burn wounds are reviewed, including improvements in patient stabilization and care.
Journal ArticleDOI

Engineered skin substitutes: practices and potentials.

TL;DR: A variety of biologic dressings and skin substitutes have however contributed to improved outcomes for patients suffering from acute and chronic wounds, including acellular biomaterials and composite cultured skin analogs containing allogeneic or autologous cultured skin cells.
Journal ArticleDOI

Hypertrophic scarring: the greatest unmet challenge after burn injury.

TL;DR: The need for novel treatments is paramount, and future efforts to improve outcomes and quality of life should include optimisation of wound healing to attenuate or prevent hypertrophic scarring, well-designed trials to confirm treatment efficacy, and further elucidation of molecular mechanisms to allow development of new preventive and therapeutic strategies.
Journal ArticleDOI

Overview of Silk Fibroin Use in Wound Dressings.

TL;DR: Recently, biomimetic wound dressings were introduced as potential replacements for treating skin injuries and silk fibroin (SF) has exceptional characteristics as a wound dressing.
References
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Journal ArticleDOI

CDC definitions for nosocomial infections, 1988

TL;DR: The Centers for Disease Control (CDC) developed a new set of definitions for surveillance of nosocomial infections as mentioned in this paper, which combine specific clinical findings with results of laboratory and other tests that include recent advances in diagnostic technology.
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Successful use of a physiologically acceptable artificial skin in the treatment of extensive burn injury.

TL;DR: Clinical and histologic experience in a relatively short follow-up period indicates that “neodermis” retains some of the anatomic characteristics and behavior of normal dermis, thus promising improvement in the functional and cosmetic results, as well as providing physiologic function as a skin substitute.
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Synthesis and characterization of a model extracellular matrix that induces partial regeneration of adult mammalian skin.

TL;DR: The data identify a model extracellular matrix that acts as if it were an insoluble growth factor with narrowly specified physiochemical structure, functioning as a transient basal lamina during morphogenesis of skin.
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Wound tissue can utilize a polymeric template to synthesize a functional extension of skin

TL;DR: A functional extension of skin over the entire wound area is formed in about 4 weeks and no immunosuppression is used and infection, exudation, and rejection are absent.
Journal ArticleDOI

Objective Estimates of the Probability of Death from Burn Injuries

TL;DR: The probability of mortality after burns is low and can be predicted soon after injury on the basis of simple, objective clinical criteria.
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