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Evidence-Based Review of Clinical Applications and Outcomes of Automated Epidermal Grafting

  • Azam A. Qureshi
  • Robert S. KirsnerEmail author
Wound Care (H Lev-Tov, Section Editor)
  • 7 Downloads
Part of the following topical collections:
  1. Topical Collection on Wound Care

Abstract

Purpose of Review

Commercialization of an automated epidermal harvesting device (CelluTome™, Kinetic Concepts Inc., San Antonio, TX) in the last 6 years has led to numerous publications describing a growing number of clinical applications. The current article reviews this literature while summarizing outcomes.

Recent Findings

A total of 20 published reports including 284 automated graft recipients have been published. Complete reepithelialization occurs in 50–92% of recipient sites, often within 4–18 weeks of graft placement. Donor sites heal without scarring within 1–2 weeks.

Summary

Current evidence suggests efficacy in using an automated epidermal harvesting device for the wounds of patients with multiple comorbidities and failing previous treatments for their wounds, including vascular ulcers, diabetic ulcers, surgical wounds, complex wounds, acute traumatic wounds, pyoderma gangrenosum, and burns. Limited evidence also suggests efficacy of automated epidermal grafting for disorders of pigmentation. Better trials studying individual clinical applications of epidermal grafting are needed.

Keywords

Epidermal skin graft Wound healing Vitiligo Pigmentation disorders 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.University of Maryland School of MedicineBaltimoreUSA
  2. 2.Department of Dermatology & Cutaneous SurgeryUniversity of Miami Miller School of MedicineMiamiUSA
  3. 3.University of Miami Hospital and Clinics Wound CenterUniversity of Miami Miller School of MedicineMiamiUSA
  4. 4.Department of Public Health SciencesUniversity of Miami Miller School of MedicineMiamiUSA

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