Limited debridement combined with ReCell® Techniques for deep second-degree burns

Yue Zhang; Kai Guo; Chenyang Tian; Ling Tong; Dahai Hu; Yunchuan Wang

doi:10.2340/jphs.v59.24557

Authors

Yue Zhang Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi’an, Shaanxi, China
Kai Guo Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi’an, Shaanxi, China
Chenyang Tian Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China
Ling Tong Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China
Dahai Hu Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China
Yunchuan Wang Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China

DOI:

https://doi.org/10.2340/jphs.v59.24557

Keywords:

Limited debridement, electric dermatome, ReCell® Autologous cell regeneration techniques, deep second-degree burn, wound healing

Abstract

Background: The purpose of this article is to introduce a method that combines limited debridement and ReCell^® autologous cell regeneration techniques for the treatment of deep second-degree burn wounds.

Method: A total of 20 patients suffered with deep second-degree burns less than 10% of total body surface area (TBSA) who were admitted to our department, from June 2019 to June 2021, participated in this study. These patients first underwent limited debridement with an electric/pneumatic dermatome, followed by the ReCell^® technique for secondary wounds. Routine treatment was applied to prevent scarring after the wound healed. Clinical outcomes were scored using the Vancouver Scar Scale (VSS).

Results: All wounds of the patients healed completely. One patient developed an infection in the skin graft area and finally recovered by routine dressing changes. The average healing time was 12 days (range: 10–15 days). The new skin in the treated area was soft and matched the colour of the surrounding normal skin and the VSS score ranged from 3~5 for each patient. Of the 20 patients, 19 were very satisfied and 1 was satisfied.

Conclusions: This article reports a useful treatment method that combines electric dermatome-dependent limited debridement and the ReCell^®technique for the treatment of deep second-degree burn wounds. It is a feasible and effective strategy that is easy to implement and minimally invasive, and it is associated with a short healing time, mild scar formation and little damage to the donor skin area.

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