Porcine Transgenic, Acellular Material as an Alternative for Human Skin

Transplant Proc. 2020 Sep;52(7):2218-2222. doi: 10.1016/j.transproceed.2020.01.125. Epub 2020 Jul 17.

Abstract

Although new therapeutic approaches for burn treatment have made progress, there is still need for efficient coverage of donor fields. Promising dressing for skin graft donor site should be biocompatible, attach easily to the wound bed, remain in place until donor site has renewed, and decrease morbidity at the site. Porcine skin may be applied as a dressing for severe burns. Therefore pig skin xenografts can be used also as donor field coverage. In the Burn Treatment Centre, we used gauze soaked in Vaseline to secure donor fields. The aim of the study was to check if transgenic porcine skin is better than standard in donor site coverage used in our center. We showed that dressing reduces pain experienced by patients. The dressing leads to a reduction of hospitalization time by an average of 8 days. The dressing is as safe as the gold standard. Securing the donor field reduces the risk of colonization of the wound in the second smear after application by 60%. The disadvantage of the dressing is the inability to absorb blood; the use of hemostatic ointments in combination with the skin of transgenic pigs should be considered in the future.

Publication types

  • Clinical Trial

MeSH terms

  • Acellular Dermis* / adverse effects
  • Adult
  • Aged
  • Animals
  • Animals, Genetically Modified
  • Bacterial Infections / epidemiology
  • Bacterial Infections / etiology
  • Biological Dressings / adverse effects
  • Burns / surgery*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain / epidemiology
  • Pain / etiology
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Skin Transplantation / adverse effects
  • Skin Transplantation / methods*
  • Swine
  • Transplantation, Heterologous / adverse effects
  • Transplantation, Heterologous / methods*
  • Treatment Outcome*