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Deceased donor skin allograft banking: Response and utilization
Madhuri A Gore1, Anuradha S De
1Department of Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai - 400 022, India.
Summary
Deceased donor skin allografts are life-saving for extensive burns in India. Indian society readily accepted skin donation after death, with significant improvements seen after community counseling and the establishment of skin banks.
Area of Science:
- Medical Science
- Transplantation Biology
- Burn Care
Background:
- Deceased donor skin allografts are a critical, life-saving option for extensive burn injuries in India, especially when alternatives are unavailable.
- The establishment of India's first deceased donor skin allograft bank in 2000 marked a significant step in burn management.
- This study evaluates societal response and allograft utilization over the first decade of the bank's operation.
Purpose of the Study:
- To assess the Indian society's acceptance of deceased donor skin donation.
- To analyze the utilization patterns and outcomes of banked skin allografts.
- To provide insights for establishing future skin banks in India.
Main Methods:
- Analysis of donation records and donor profiles from 2000 to 2010.
- Review of specially designed forms to study allograft utilization and patient outcomes.
- Evaluation of the impact of community counseling on donation rates.
Main Results:
- 262 deceased donor skin allograft donations were received over ten years.
- Significant increase in donations observed following community counseling initiatives.
- Skin allografts from 249 donors were used for 165 patients, with encouraging outcomes in burn injury recipients.
Conclusions:
- Indian society demonstrates readiness to embrace the concept of post-mortem skin donation.
- Skin allografts are vital for treating patients with severe burn injuries.
- Development of national guidelines is recommended for establishing more skin banks.
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