Original Paper

Cell and Tissue Banking

, Volume 14, Issue 3, pp 505-510

First online:

Severe adult burn survivors. What information about skin allografts?

  • Sonia GaucherAffiliated withLaboratoire d’éthique médicale et médecine légale, Université Paris Descartes, Sorbonne Paris CitéService des brûlés, Assistance Publique Hôpitaux de Paris, Hôpital CochinService de chirurgie générale, plastique et ambulatoire, Assistance Publique-Hôpitaux de Paris, Hôpital Cochin Port-Royal Email author 
  • , Nathalie DuchangeAffiliated withLaboratoire d’éthique médicale et médecine légale, Université Paris Descartes, Sorbonne Paris Cité
  • , Mohamed JarrayaAffiliated withBanque des tissus humains, Assistance Publique Hôpitaux de Paris, Hôpital Saint-Louis
  • , Jocelyne MagneAffiliated withService des brûlés, Assistance Publique Hôpitaux de Paris, Hôpital CochinSSR brûlés
  • , Jean-Michel RochetAffiliated withService des brûlés, Assistance Publique Hôpitaux de Paris, Hôpital CochinSSR brûlés
  • , Jean StéphanazziAffiliated withService des brûlés, Assistance Publique Hôpitaux de Paris, Hôpital CochinDépartement d’anesthésie et de réanimation chirurgicale, Assistance Publique Hôpitaux de Paris, Hôpital Cochin
  • , Christian HervéAffiliated withLaboratoire d’éthique médicale et médecine légale, Université Paris Descartes, Sorbonne Paris CitéUnité de médecine sociale, médecine légale et éthique médicale, Assistance Publique Hôpitaux de Paris, GHU Ouest, Hôpital Corentin Celton
  • , Grégoire MoutelAffiliated withLaboratoire d’éthique médicale et médecine légale, Université Paris Descartes, Sorbonne Paris CitéUnité de médecine sociale, médecine légale et éthique médicale, Assistance Publique Hôpitaux de Paris, GHU Ouest, Hôpital Corentin Celton

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Abstract

During the acute phase of a severe burn, surgery is an emergency. In this situation, human skin allografts constitute an effective temporary skin substitute. However, information about the use of human tissue can not be given to the patients because most of the allografted patients are unconscious due to their injury. This study explored the restitution of information on skin donation to patients who have been skin allografted and who have survived their injury. A qualitative study was conducted due to the limited number of patients in ability to be interviewed according to our medical and psychological criteria. 12 patients who had been treated between 2002 and 2008 were interviewed. Our results show that 10 of them ignored that they had received skin allografts. One of the two patients who knew that they had received allografts knew that skin had been harvested from deceased donor. All patients expressed that there is no information that should not be delivered. They also expressed their relief to have had the opportunity to discuss their case and at being informed during their interview. Their own experience impacted their view in favor of organ and tissue donation.

Keywords

Ethics Burn Skin allograft Skin donor Organ and tissue donation Information