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Biologic wound coverings in burn treatment

  • World Progress In Surgery
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Abstract

A review of biologic wound coverings currently in use is presented. These include homografts, xenografts, embryonic membranes, and tissue derivatives. The indications, advantages, and disadvantages of such materials are discussed. Finally, future research directions are suggested.

Résumé

Une revue des techniques de couverture biologique des brûlures est présentée. Celles-ci comprennent les homogreffes, les xénogreffes, l'utilisation de membranes embryonnaires et de dérivés tissulaires. Les indications, les avantages et les inconvénients des différents tissus sont discutés. Quelques espoirs pour l'avenir sont présentés.

Resumen

El tratamiento básico del paciente quemado se fundamenta en el mantenimiento de la homeostasis corporal, el balance de nitrógeno, la competencia inmunológica y la exclusión microbiana, hasta que el cirujano haya removido el tejido no viable y pueda cerrar la herida de la quemadura. Entre más pronto se logre la cicatrización de la herida mayor es la probabilidad de recuperación exitosa del paciente. Existe una variedad de materiales para el cubrimiento de la herida, los cuales se subdividen en coberturas biológicas y coberturas sintéticas. Se presenta una revisión de los materiales biológicos actualmente en boga para la cobertura de la herida por quemadura. Estos incluyen homoinjertos, xenoinjertos, membranas embriónicas y derivados tisulares. Se discuten sus ventajas y desventajas y, finalmente, se mencionan algunos campos de investigación para el futuro.

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Alsbjörn, B.F. Biologic wound coverings in burn treatment. World J. Surg. 16, 43–46 (1992). https://doi.org/10.1007/BF02067113

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