Introduction: Early excision and prompt resurfacing with skin grafts is the mainstay of surgical treatment of extensive raw areas. However, early excision with autograft coverage may be difficult to be achieved in patients with extensive burns due to the limited size of donor sites. Aim of the work: The aim of this study is to evaluate the treatment of post-burn and post-traumatic raw areas using Cell Spray Technique to better understand its indication at a maximum benefit. Patients and methods: 20 Patients aged from 2-40 years old with a partial-thickness to deep partial-thickness wound of up to 20% total body surface area (TBSA) requiring surgical debridement and skin grafting participated in this study, underwent cell spray-on grafting on their raw are after harvesting a normal graft from their donor site, separate dermis from epidermis, mince the epidermis and put it in a suspension solution of ringer Lactate. Results: Majority of patient rejected the sprayed cells or showed subsequent scars that scored high on the Vancouver Scar Score. Discussion: We tried to apply the same clinical technique of the ReCell device in our study, to best achieve the benefits of minimizing the donor site to cover up larger recipient defects in an economic way, by substituting every tool included in the ReCell device kit with a cheaper tool from our operating field, trying to maintain the level of quality of the healing process and the resultant scar outcome. We tried to assess the quality of healing process and the resulting scar, and its relation to every factor we managed in the criteria and to figure out how far these elements affected the results of our study. We recommend: Further trials of the technique to achieve higher healing quality, and thorough selection of the candidate patients to avoid factors that disrupt the healing process and worsen the resultant scar.
Darwish, A., Hassan, K., Saad, D., & Al-Ahmady, M. (2020). Evaluation of the Effect of Cell Spray Technique in the Treatment of Partial-thickness Skin Loss.. Minia Journal of Medical Research, 31(2), 12-20. doi: 10.21608/mjmr.2022.220826
MLA
Abdou M. A Darwish; Khaled M. Hassan; Doaa A. Saad; Maysara. Y. Al-Ahmady. "Evaluation of the Effect of Cell Spray Technique in the Treatment of Partial-thickness Skin Loss.". Minia Journal of Medical Research, 31, 2, 2020, 12-20. doi: 10.21608/mjmr.2022.220826
HARVARD
Darwish, A., Hassan, K., Saad, D., Al-Ahmady, M. (2020). 'Evaluation of the Effect of Cell Spray Technique in the Treatment of Partial-thickness Skin Loss.', Minia Journal of Medical Research, 31(2), pp. 12-20. doi: 10.21608/mjmr.2022.220826
VANCOUVER
Darwish, A., Hassan, K., Saad, D., Al-Ahmady, M. Evaluation of the Effect of Cell Spray Technique in the Treatment of Partial-thickness Skin Loss.. Minia Journal of Medical Research, 2020; 31(2): 12-20. doi: 10.21608/mjmr.2022.220826
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