presents
Wheeless' Textbook of Orthopaedics
Tracking Pixel

Porcine dermal collagen as a wound dressing for skin donor sites and deep


partial skin thickness burns. Gao-Z-R. Hao-Z-Q. Li-Y. Im-M-J. Spence-R-J. Department of Burn Surgery, Affiliated Hospital of Qinghai Medical College, Xining, People's Republic of China. Burns. 1992 Dec. 18(6). P 492-6. Collagen was extracted by pepsin digestion from porcine skin, and collagen membrane was prepared by salt precipitation. The porcine collagen membrane was evaluated as a burn wound dressing in deep partial skin thickness burn wounds in rats. Burn wounds, 4 x 4 cm, were inflicted by exposure of skin to 75 degrees C for 15 s followed by de-epithelialization. Wound healing was assessed by planimetry of epithelialization on day 10 after injury. Open wounds exhibited 24 per cent of wound area re-epithelialized. Collagen membrane dressing significantly improved the healing to 69 per cent of wound area (P < 0.0001). In a completely separate experiment, the porcine collagen membrane was applied as a wound dressing to the donor sites of burn patients, and its effect on wound healing was compared with that of a petroleum jelly gauze dressing. The donor sites covered with petroleum jelly gauze had re-epithelialized by an average of 14.5 days (ranging from 13 to 16 days) after wounding. The wounds dressed with collagen membrane demonstrated a significant increase in the healing rate. Complete re-epithelialization was observed by 10.3 days (ranging from 10 to 12 days) after wounding (P < 0.0001). Author-abstract.



Original Text by Clifford R. Wheeless, III, MD.