Evolving practice of the Helsinki Skin Bank.
The purpose of this study is to review the management and running of the Helsinki Skin Bank between the years 2001 and 2008. Further aims were to assess the microbiological safety of the glycerol-preserved allograft skin and analyse its clinical use. The files of the Helsinki Skin Bank were reviewed for allograft skin harvested from organ donors between 2001 and 2008. Data on harvested skin area and microbiological culture results were collected. The patients receiving allograft were also identified and operation indications analysed. Allograft skin was collected from 115 donors, with a mean of 44,335 cm(2) per year. No skin batches were discarded. Microbiological cultures of the allograft skin batches were negative in 86 (75%) cases. Thirty-five donor skin batches were used in 69 operations. The most common indication was 'Biological dressing on partial-thickness burns', comprising 52% of cases. The cost per cm(2) was 0.81euro. The use of allograft skin in the Helsinki Skin Bank is microbiologically safe and continues to provide a versatile and useful treatment modality in many major burn cases with few observed complications. As compared with synthetically produced temporary dressings currently available, our allograft skin is also more economical.
Lindford
Andrew J
AJ
Department of Plastic Surgery, Helsinki University Hospital, Helsinki, Finland. andrew.lindford@hus.fi
Frey
Ira
I
Vuola
Jyrki
J
Koljonen
Virve
V
D000328:Adult; D001684:Biological Dressings / Q000706:statistics & numerical data*; D002056:Burns / Q000601:surgery; D005161:Facility Regulation and Control; D005387:Finland; D005990:Glycerol; D006801:Humans; D017053:Infection Control; D008875:Middle Aged; D019188:Organ Preservation Solutions; D018579:Patient Selection; D015397:Program Evaluation; D012449:Safety / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D012867:Skin / Q000382:microbiology; D016038:Skin Transplantation / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D014015:Tissue Banks / Q000458:organization & administration*; D014019:Tissue Donors / Q000706:statistics & numerical data; D014021:Tissue Preservation / Q000379:methods / Q000706:statistics & numerical data; D020858:Tissue and Organ Harvesting / Q000379:methods / Q000706:statistics & numerical data; D014184:Transplantation, Homologous / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*
D019188:Organ Preservation Solutions; D005990:Glycerol