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Safety and Efficacy of a Bilayered Skin Construct in Full‐Thickness Surgical Wounds
Author(s) -
Donohue Kevin G.,
Carson Polly,
Iriondo Manuel,
Zhou Linda,
Saap Liliana,
Gibson Kathleen,
Falanga Vincent
Publication year - 2005
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.2005.tb00811.x
Subject(s) - construct (python library) , medicine , surgery , biomedical engineering , computer science , programming language
This was a prospective, randomized, controlled clinical trial assessing the safety and efficacy of a living bilayered skin construct (BSC; Organogenesis, Canton, MA) in treating full‐thickness surgical excision wounds. We enrolled 31 patients needing excision of a non‐melanoma skin cancer. The patients consisted of 18 females and 13 males, with an average age of 67 years (range: 44 to 84 years). Patients were randomized to either receive a single application of BSC or to heal by secondary intention. Endpoints to assess efficacy included time to complete wound closure, intensity and duration of post‐operative pain, cosmetic appearance, patient satisfaction, and quality of the healed wound. Endpoints to assess safety included infection at the wound site and rejection of the BSC. Findings indicate that BSC is safe in the post‐operative treatment of acute surgical wounds for removal of non‐melanoma skin cancer. The data also suggest that BSC may facilitate management by decreasing post‐operative pain. It is unclear whether or not BSC decreases healing time of acute wounds or results in a better cosmetic outcome.