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Skin banks are crucial for plastic and reconstructive surgery. Ajay Kashyap



  Skin banks are of crucial importance for plastic and reconstructive surgery. Ajay Kashyap

Skin banks are essential to cope with the increasing number of plastic surgery cases in India. With the increasing number of cases, the importance of skin banks must be understood.

Skin banks are an important resource for plastic and reconstructive surgeons. This is especially true in developing countries where skin replacement products are not readily available. Skin banks only became a possibility when tissue preservation techniques improved in the mid-20th century. The first recognized Hautbank was founded in 1

949 by the US Navy. Since then, they have been used mainly by plastic and reconstructive surgeons around the world.

The donor skin grafts act as a biological, physiological treatment. They promote re-epithelialization, shorten the healing time and relieve pain. They also protect dermal and subcutaneous structures such as cartilage, tendons, bones and nerves. In Western countries, there are a variety of skin replacement and template products, making the dermal banks less important. There are only a few alternatives in our country. This is especially true for extensive burns, traumatic wounds and when tendons, nerves, bones or other vital structures are exposed.

A new life

The skin is gently removed from fresh corpses under strictly aseptic conditions. The skin is then transferred to skin banks and stored under strict sepsis and temperature control. Banks are heavily regulated in Europe, and US tests are mandatory for various diseases such as HIV, Hepatitis C and B, and syphilis. Other microbiological tests to prevent infection are also required. The retention time must be kept short for the viability of tissues.

The main use of dermal beds is the treatment of acute burns. The donor skin acts as a biological dressing and prevents fluid and electrolyte loss, one of the most common causes of premature death from burns. The skin also helps in preventing infections that can lead to sepsis and death. It helps with epithelialization and reduces the deformity. Most importantly, it saves time until skin grafts are obtained from the patient and the results can be improved.

Read also: World Plastic Surgery 2019: Can plastic surgery improve the quality of life?

In the trauma units, the skin bench provides skin to cover vital structures and prevent dehydration. When the final reconstruction is complete, the results are much better. For chronic wounds, donor skin grafts can promote healing. This is important for bedsores, venous ulcers, diabetic wounds and radiation-induced wounds.

Getting grafts and applying these grafts is straightforward. Tissue banks, especially skin banks, have become invaluable as part of a weapons area for plastic surgeons for acute burns and wounds as well as for chronic, non-healing wounds.

About the author: Dr. med. Ajaya Kashyap is a Senior Consultant for Plastic & Reconstructive Surgery at Fortis La Femme, New Delhi

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Written by Vani Malik

Source: Onlymyhealth Editorial Team July 15, 2019


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