The application of new biosynthetic artificial skin for long-term temporary wound coverage

Hsian-Jenn Wang, Trong Duo Chou, Tai Li Tsou, Tim Mo Chen, Shao Liang Chen, Shyi Gen Chen, Lin Gwei Wei, Kuan Jeh Yeh, Yao Huang Ko, Chi Shyran Wang, Wei Hwa Lee

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Temporary dressings protect wounds from desiccation and infection. In our previous study, we used meshed acellular porcine dermis (APD) to enhance wound healing and decrease wound contraction; however, the wounds showed meshed scar [Wang HJ, Chen TM, Cheng TY. Use of a porcine dermis template to enhance widely expanded mesh autologous split-thickness skin graft growth: preliminary report. J Trauma 1997;42(2):177-82]. In this study, we produced an artificial skin composed of a cross-linked silicon sheet on the surface of APD which we have called silicone acellular porcine dermis (SAPD). This new artificial skin can protect the wound long enough to promote wound healing either by second intention or covered long enough until cultured epithelium autograft (CEA) or autologous skin graft can be harvested for permanent coverage. We delivered 4 cm × 5 cm full-thickness wound on the back of 350 g Sprague-Dawley rats. Thirty-six rats were divided into two groups. Eighteen rats had SAPD and the other 18 were covered with Biobrane. The wounds were first examined 2 weeks after grafting and followed weekly for an additional 4 weeks to evaluate the wound and study pathological changes by using H.E. and Masson's stains. Wound size was calculated by ruler and analyzed by Student's t-test. At the 2-week inspection, both SAPD and Biobrane showed tight adherence to the wound with no change of wound size. Both the SAPD and Biobrane dermal templates were pink. In the Biobrane-covered group, the wounds contracted soon after the tie-over dressing was removed. Its dermal layer is a layer of thin porcine dermal substance, which was promptly digested by tissue hyaluronidase and provides no real dermal template. In the SAPD-covered group however, the wound size was maintained significantly from third to sixth week after grafting (p <0.001). SAPD was designed with thick epidermal silicone and a well-organized porcine dermis so that it incorporates into the recipient wound. Clinically the silicone layer of SAPD dislodged from APD about 6-7 weeks after grafting and was followed by dermal matrix exposure and infection. In pathological examination, much like a human skin graft, new vessels were found in APD about 1 week after grafting with minimal inflammatory cells infiltrated in the graft and wound. Six weeks after grafting, the collagen of APD incorporated into the wound, showing palisade arrangement and no sign of rejection. In the Biobrane group however, the wounds showed severe inflammation, the porcine dermal matrix was digested and disappeared 3 weeks after coverage. In conclusion, SAPD is a thick biosynthetic artificial skin, which protects the rat wound significantly longer than Biobrane and prevents contraction. We expect that using of SAPD for temporary wound coverage will provide enough time to grow autologous-cultured epithelium or to reharvest skin grafts.

Original languageEnglish
Pages (from-to)991-997
Number of pages7
JournalBurns
Volume31
Issue number8
DOIs
Publication statusPublished - Dec 2005

Fingerprint

Artificial Skin
Acellular Dermis
Swine
Silicones
Wounds and Injuries
Skin
Transplants
Bandages
Dermis
Wound Healing
Epithelium

Keywords

  • Artificial skin
  • Biobrane
  • Long-term temporary wound coverage
  • Silicon acellular porcine dermis

ASJC Scopus subject areas

  • Emergency Medicine
  • Surgery

Cite this

The application of new biosynthetic artificial skin for long-term temporary wound coverage. / Wang, Hsian-Jenn; Chou, Trong Duo; Tsou, Tai Li; Chen, Tim Mo; Chen, Shao Liang; Chen, Shyi Gen; Wei, Lin Gwei; Yeh, Kuan Jeh; Ko, Yao Huang; Wang, Chi Shyran; Lee, Wei Hwa.

In: Burns, Vol. 31, No. 8, 12.2005, p. 991-997.

Research output: Contribution to journalArticle

Wang, H-J, Chou, TD, Tsou, TL, Chen, TM, Chen, SL, Chen, SG, Wei, LG, Yeh, KJ, Ko, YH, Wang, CS & Lee, WH 2005, 'The application of new biosynthetic artificial skin for long-term temporary wound coverage', Burns, vol. 31, no. 8, pp. 991-997. https://doi.org/10.1016/j.burns.2005.07.008
Wang, Hsian-Jenn ; Chou, Trong Duo ; Tsou, Tai Li ; Chen, Tim Mo ; Chen, Shao Liang ; Chen, Shyi Gen ; Wei, Lin Gwei ; Yeh, Kuan Jeh ; Ko, Yao Huang ; Wang, Chi Shyran ; Lee, Wei Hwa. / The application of new biosynthetic artificial skin for long-term temporary wound coverage. In: Burns. 2005 ; Vol. 31, No. 8. pp. 991-997.
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AU - Tsou, Tai Li

AU - Chen, Tim Mo

AU - Chen, Shao Liang

AU - Chen, Shyi Gen

AU - Wei, Lin Gwei

AU - Yeh, Kuan Jeh

AU - Ko, Yao Huang

AU - Wang, Chi Shyran

AU - Lee, Wei Hwa

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N2 - Temporary dressings protect wounds from desiccation and infection. In our previous study, we used meshed acellular porcine dermis (APD) to enhance wound healing and decrease wound contraction; however, the wounds showed meshed scar [Wang HJ, Chen TM, Cheng TY. Use of a porcine dermis template to enhance widely expanded mesh autologous split-thickness skin graft growth: preliminary report. J Trauma 1997;42(2):177-82]. In this study, we produced an artificial skin composed of a cross-linked silicon sheet on the surface of APD which we have called silicone acellular porcine dermis (SAPD). This new artificial skin can protect the wound long enough to promote wound healing either by second intention or covered long enough until cultured epithelium autograft (CEA) or autologous skin graft can be harvested for permanent coverage. We delivered 4 cm × 5 cm full-thickness wound on the back of 350 g Sprague-Dawley rats. Thirty-six rats were divided into two groups. Eighteen rats had SAPD and the other 18 were covered with Biobrane. The wounds were first examined 2 weeks after grafting and followed weekly for an additional 4 weeks to evaluate the wound and study pathological changes by using H.E. and Masson's stains. Wound size was calculated by ruler and analyzed by Student's t-test. At the 2-week inspection, both SAPD and Biobrane showed tight adherence to the wound with no change of wound size. Both the SAPD and Biobrane dermal templates were pink. In the Biobrane-covered group, the wounds contracted soon after the tie-over dressing was removed. Its dermal layer is a layer of thin porcine dermal substance, which was promptly digested by tissue hyaluronidase and provides no real dermal template. In the SAPD-covered group however, the wound size was maintained significantly from third to sixth week after grafting (p <0.001). SAPD was designed with thick epidermal silicone and a well-organized porcine dermis so that it incorporates into the recipient wound. Clinically the silicone layer of SAPD dislodged from APD about 6-7 weeks after grafting and was followed by dermal matrix exposure and infection. In pathological examination, much like a human skin graft, new vessels were found in APD about 1 week after grafting with minimal inflammatory cells infiltrated in the graft and wound. Six weeks after grafting, the collagen of APD incorporated into the wound, showing palisade arrangement and no sign of rejection. In the Biobrane group however, the wounds showed severe inflammation, the porcine dermal matrix was digested and disappeared 3 weeks after coverage. In conclusion, SAPD is a thick biosynthetic artificial skin, which protects the rat wound significantly longer than Biobrane and prevents contraction. We expect that using of SAPD for temporary wound coverage will provide enough time to grow autologous-cultured epithelium or to reharvest skin grafts.

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