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Effective management of difficult surgical defects using tissue-engineered skin
M M Tarlow1, R Nossa, J M Spencer
1Albert Einstein College of Medicine, Bronx, New York, USA.
Summary
Graftskin effectively healed complex surgical wounds in two patients within 9 weeks. This living skin substitute offers a valuable option for difficult-to-treat surgical defects, shortening healing time.
Area of Science:
- Regenerative Medicine
- Dermatologic Surgery
- Wound Healing
Background:
- Graftskin, a bilayered living skin construct, is established for chronic venous ulcerations and simple surgical excisions.
- Its application in complex surgical wound defects is less routine.
- This study investigates Graftskin's efficacy in challenging surgical scenarios.
Observation:
- Two patients with complex defects post-Mohs surgery received Graftskin.
- The engineered skin was applied, fenestrated, and sutured.
- Wound healing was monitored weekly, with complete reepithelialization defining success.
Findings:
- Graftskin demonstrated good tolerability in both patients.
- Complete wound healing was achieved within 9 weeks post-application.
- The treatment proved effective for complex surgical wound defects.
Implications:
- Graftskin presents a viable alternative for complex surgical wounds unresponsive to other treatments.
- It potentially reduces healing duration and patient morbidity.
- Consider Graftskin for wounds where secondary intention healing is undesirable.

