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Original Article                                   Plastic and Aesthetic Research




          First-year experience of a new skin bank in


          Brazil




          Alysson Rogerio Matioski, Clóvis Rodrigo Guimarães Braz Pereira da Silva,
          Diogo Rodrigues da Silva-Cunha, Luiz Henrique Auerswald Calomeno,
          Flávia Thaiana Bonato, Marcelus Vinícios Araujo Nigro
          Department of Burn and Plastic Surgery, Evangelical University Hospital of Curitiba, Curitiba, Paraná 80730150, Brazil.
          Address for correspondence: Dr. Alysson Rogerio Matioski, Department of Burn and Plastic Surgery, Evangelical University Hospital of Curitiba,
          Curitiba, Paraná 80730150, Brazil. E-mail: alymatioski@yahoo.com.br

                ABSTRACT
                Aim: To report the 1st year experience of the skin bank opened at the Evangelical University Hospital
                of Curitiba (HUEC), Brazil in June 2013. Methods: A retrospective statistical and epidemiological study
                was conducted from data obtained from the activities of the HUEC skin bank from June 2013 to August
                2014. Results: The HUEC skin bank harvested tissue from 45 cadaveric donors (46.6% female and 53.3%
                male), with an average age of 36.42. The white skin-colored donors represented 91% of donations.
                Most causes of death were of neurological origin (55.6%). Eighty-one batches were harvested. The
                bank processed 31,314.63 cm² of skin for transplantation (41 batches), and 38 batches were discarded.
                The  distributed  allografts  totaled  28,940.82  cm²,  with  tissue  from  a  single  donor  benefitting  up  to
                5 patients. A total of 52 transplant procedures were performed (66.6% of recipients were male and
                33.3% female), burn victims represented 83.3% of the recipients. Conclusion: The HUEC skin bank
                provides skin primarily for victims with severe third-degree burns, mostly men, and who are treated
                and transplanted in the HUEC as a result of high demand. The successful outcomes highlight the
                potential use for other clinical indications.

                Key words:
                Allograft, Brazil, burns, donation, Evangelical University Hospital of Curitiba, skin, skin bank


          INTRODUCTION                                        Although allografts are primarily used in the treatment of
                                                              severe burns, they can also be used for many indications,
          Burns are an important public health problem.  In Brazil,   including extensive  skin loss,  surgical wounds, lower
                                                  [1]
          it is estimated that they are the cause of approximately   limb ulcers, pyoderma gangrenosum of diabetic feet and
          1,000,000 accidents per  year.  Of  these,  100,000  patients   bullous diseases. In addition to serving as a barrier against
          will require hospital care, and about 2,500 will die directly   infection, allografts serve as a temporary biological
                                            [2]
          or indirectly as a result of their injuries.  One of the best   dressing  to help control pain,  protect deep structures,
          ways to treat burn patients is by the use of allografts,   promote re‑epithelialization  and restore the important
          which remain  the biological dressing  of choice and are   functions of the skin such as thermal regulation and
          an important tool. In many cases they can be used for
          the  effective reconstruction of the dermal component.    This is an open access article distributed under the terms of the Creative Commons
                                                          [3]
                                                              Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix,
                         Access this article online           tweak, and build upon the work non-commercially, as long as the author is credited
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                                   Website:                   For reprints contact: reprints@medknow.com
                                   www.parjournal.net
                                                               How to cite this article: Matioski AR, da Silva CR, da Silva-Cunha DR,
                                                               Calomeno LH, Bonato FT, Nigro MA. First-year experience of a new
                                   DOI:
                                   10.4103/2347-9264.169496    skin bank in Brazil. Plast Aesthet Res 2015;2:326-31.
                                                               Received: 20-03-2015; Accepted: 06-09-2015



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