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Application of decellularization-recellularization technique in plastic and reconstructive surgery.
Yujia Shang1,2, Guanhuier Wang1, Yonghuan Zhen1
1Department of Plastic Surgery, Peking University Third Hospital, Haidian District, Beijing 100191, China.
Chinese Medical Journal
|February 8, 2023
Summary
The decellularization-recellularization technique offers a promising solution for tissue regeneration in plastic surgery, overcoming donor shortages and immunosuppression by using acellular scaffolds for cell seeding and transplantation.
Area of Science:
- Regenerative Medicine
- Tissue Engineering
- Plastic and Reconstructive Surgery
Background:
- Challenges in plastic and reconstructive surgery include donor shortages and immunosuppression.
- Tissue loss due to disease or injury necessitates innovative solutions.
- Regenerative medicine offers a promising avenue for tissue repair and replacement.
Approach:
- The decellularization-recellularization strategy utilizes decellularized extracellular matrix (dECM) as a scaffold.
- dECM retains complex ultrastructure while being free of cells and genetic material.
- This scaffold supports cell seeding and subsequent transplantation for tissue regeneration.
Key Points:
- The review focuses on the application of decellularization-recellularization in plastic and reconstructive surgery.
- Specific applications include the remodeling of skin, nose, ears, face, and limbs.
- This technique holds potential for restoring form and function in damaged tissues.
Conclusions:
- Decellularization-recellularization is a viable strategy for addressing limitations in current reconstructive surgery.
- The technique facilitates the regeneration of diseased or damaged tissues and organs.
- Future development directions and challenges within plastic surgery are discussed.

