Analysis of a retrospective double-centre data-collection for the treatment of burns using biological cover Xe-derma®.
Xe-Derma(®) is a new biological acellular temporary wound cover derived from pig dermis in the form of a mesh of collagen and elastic fibers. It is recommended for use in similar indications as classical pig xenografts. A data collection of 2 burns centres in the treatment of burns with Xe-Derma(®) was obtained from the medical records of 101 patients admitted from January 1, 2010 to December 31, 2011. The primary objectives of the study were to assess efficacy and safety when using Xe-Derma(®) in burn treatment, and to analyse the course of healing. The secondary objectives were to define the suitable spectrum of indications of Xe-Derma(®) in terms of burn depth, and to evaluate subsequent scarring using the Vancouver Scar Scale. No undesirable systemic effects or adverse device events were observed. The use of Xe-Derma(®) was not associated with a higher risk of burn wound infection. On the other hand, the infection was the most common cause of Xe-Derma(®) dissolution. The majority of patients (81.4%) had no signs of Xe-Derma(®) dissolution. The mean healing time in the group of patiens under review was close to 12 days and mean hospitalization time was almost 14 days. Using Xe-Derma(®) proved to be effective as a temporary covering for partial-thickness burns with the capacity of spontaneous healing. It proved to be a well-tolerated wound coverage with minimal complications and low level of pain during dressing changes. Xe-Derma(®) firmly adhered to the wound bed. There was a lower frequency of wound dressing changes and only a minimal rate of wound infection.
Burns Centre, University Hospital Ostrava, Ostrava-Poruba, Czech Republic.
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Klosová
Division of Plastic Reconstructive Surgery and Burns Unit, Dept. of Surgery, Charles University in Prague, Medical Faculty and Teaching Hospital in Hradec Králové, Sokolská, Hradec Králové, Czech Republic ; Dept. of Military Surgery, Faculty of Military Health Sciences, University of Defence, Trebešská Hradec Králové, Czech Republic.
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Klein
Dept. of Burns Medicine, Teaching Hospital Královské Vinohrady, Šrobárova, Prague, Czech Republic.
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Bláha
Xe-Derma®; acellular pig skin; biological temporary wound cover; burns