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Medicina
Special Issues
Burn Treatment and Reconstruction
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Burn Treatment and Reconstruction

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: closed (15 September 2024) | Viewed by 2900

Special Issue Editors

Dr. Marcin Gierek

E-Mail Website
Guest Editor
Dr Stanisław Sakiel Center for Burns Treatment, Jana Pawła II 2, 41-100 Siemianowice Śląskie, Poland
Interests: surgical oncology; burns; plastic surgery
Dr. Dariusz A. Waniczek

E-Mail Website
Guest Editor
Department of Oncology and Radiotherapy, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
Interests: burn; surgery; surgical oncology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are thrilled to announce the upcoming Special Issue of Medicina, centered on “Burn Treatment and Reconstruction”. In response to the enduring challenges posed by burn injuries in healthcare, this Special Issue aspires to compile cutting-edge research and innovative approaches within the realm of burn care. Recognizing the persistent challenges that burn injuries pose in the healthcare landscape, this Special Issue aspires to serve as a compendium of leading-edge research and innovative strategies in the field of burn care.

We eagerly anticipate your valuable contributions, which will undoubtedly enrich our collective understanding of burn treatment and reconstruction.

We extend a warm invitation to researchers, clinicians, and experts to contribute original research articles, reviews, and clinical studies covering various facets of contemporary burn treatment. The following topics are of particular interest:

1) Innovative therapeutic strategies for managing burn wounds.
2) Progress in skin grafting techniques and tissue engineering.
3) Rehabilitation and long-term care for individuals recovering from burns.
4) Hiperbaric treatment as a support of surgical treatment.
5) Human amniotic membrane as an antiseptic-soaked dressing dedicated to infected wounds.
6) Burn treatment utilizing the amniotic membrane.
7) Applications of the amniotic membrane with platelet-rich plasma (PRP) in burn treatment.
8) Amniotic membrane as a carrier for skin cells, providing the potential for burn treatment using a new type of biovital graft.
9) Acellular dermal matrix (ADM) in burn treatment.
10) Enzymatic demarcation of necrosis.
11) Modern visualization technologies for burns, e.g., LASCA (laser speckle contrast analysis) and Spect-CT (single-photon emission computed tomography).
12) Reconstruction surgery in burn treatment, e.g., free flaps and microsurgery.

Dr. Marcin Gierek
Dr. Dariusz A. Waniczek
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • skin grafting
  • tissue reconstruction
  • burn innovative treatment
  • enzymatic debridement

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Published Papers (2 papers)

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Research

14 pages, 3415 KiB  
Article
Amnion as an Innovative Antiseptic Carrier: A Comparison of the Efficacy of Allogeneic and Xenogeneic Transplantations in the Context of Burn Therapy
by Agnieszka Klama-Baryła, Anna Sitkowska, Wojciech Łabuś, Przemysław Strzelec, Małgorzata Kraut, Wojciech Smętek, Wojciech Śliwiński, Ryszard Maciejowski and Marcin Gierek
Medicina 2024, 60(6), 1015; https://doi.org/10.3390/medicina60061015 - 20 Jun 2024
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Abstract
Background and Objectives: The amniotic membrane is widely used in the treatment of chronic wounds, in toxic epidermal necrolysis (TEN), and in the treatment of burns. In our clinical practice, we use amniotic dressings on shallow skin wounds caused by burns. Counteracting infections [...] Read more.
Background and Objectives: The amniotic membrane is widely used in the treatment of chronic wounds, in toxic epidermal necrolysis (TEN), and in the treatment of burns. In our clinical practice, we use amniotic dressings on shallow skin wounds caused by burns. Counteracting infections is an important aspect of working with burn wounds. Therefore, the main goals of this work are to demonstrate the usefulness of amniotic membrane soaked in antiseptics for the prevention of wound infections and to compare the antibacterial efficacy of selected variants of allogeneic and xenogeneic amniotic membrane grafts soaked in specific antiseptic agents. Materials and Methods: The studied material consisted of human and pig placenta. The human and animal amnions were divided in two parts. The first part consisted of amniotic discs placed on rigid mesh discs and preparing the fresh amnion. The second part of the amnion was frozen at a temperature of −80 °C for 24 h. Then, it was radio-sterilized with a dose of 35 kGy. The amniotic discs were placed on rigid mesh to prepare the radiation-sterilized amnion. The amniotic discs were placed in a 12-well plate and immersed in 3 mL of the appropriate antiseptic solutions: Prontosan, Braunol, Borasol, Microdacyn, Octenilin, Sutrisept, and NaCl as a control. The amniotic discs were incubated in antiseptics for 3 h. The microbiological tests were conducted by placing the antiseptic-infused amniotic discs on microbiological media inoculated with hospital strains. Results: The largest average zone of growth inhibition was observed in dressings soaked with Sutrisept, Braunol, and Prontosan. The greatest inhibition of bacterial growth was achieved for radiation-sterilized porcine amnion impregnated with Braunol and Sutrisept, as well as for radiation-sterilized human amnion impregnated with Braunol. Conclusions: Human and porcine amniotic membrane is effective in carrying antiseptics. Radiation-sterilized amnion seems to inhibit the growth of microorganisms better than fresh amnion. Full article
(This article belongs to the Special Issue Burn Treatment and Reconstruction)
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18 pages, 2939 KiB  
Article
Assessing the Effect of Enzymatic Debridement on the Scar Quality in Partial-Thickness Burns to Deep Dermal Burns of the Hand: A Long-Term Evaluation
by Wolfram Heitzmann, Alexandra Schulz, Paul Christian Fuchs and Jennifer Lynn Schiefer
Medicina 2024, 60(3), 481; https://doi.org/10.3390/medicina60030481 - 14 Mar 2024
Cited by 1 | Viewed by 1401
Abstract
Background and Objectives: Burn surgery on the hands is a difficult procedure due to the complex anatomy and fragility of the area. Enzymatic debridement has been shown to effectively remove burn eschar while minimizing damage to the surrounding tissue and has therefore become [...] Read more.
Background and Objectives: Burn surgery on the hands is a difficult procedure due to the complex anatomy and fragility of the area. Enzymatic debridement has been shown to effectively remove burn eschar while minimizing damage to the surrounding tissue and has therefore become a standard procedure in many burn centers worldwide over the past decade. However, surprisingly, our recent literature review showed limited valid data on the long-term scarring after the enzymatic debridement of the hands. Therefore, we decided to present our study on this topic to fill this gap. Materials and Methods: This study analyzed partial-thickness to deep dermal burns on the hands that had undergone enzymatic debridement at least 12 months prior. Objective measures, like flexibility, trans-epidermal water loss, erythema, pigmentation, and microcirculation, were recorded and compared intraindividually to the uninjured skin in the same area of the other hand to assess the regenerative potential of the skin after EDNX. The subjective scar quality was evaluated using the patient and observer scar assessment scale (POSAS), the Vancouver Scar Scale (VSS), and the “Disabilities of the Arm, Shoulder, and Hand” (DASH) questionnaire and compared interindividually to a control group of 15 patients who had received traditional surgical debridement for hand burns of the same depth. Results: Between January 2014 and December 2015, 31 hand burns in 28 male and 3 female patients were treated with enzymatic debridement. After 12 months, the treated wounds showed no significant differences compared to the untreated skin in terms of flexibility, trans-epidermal water loss, pigmentation, and skin surface. However, the treated wounds still exhibited significantly increased blood circulation and erythema compared to the untreated areas. In comparison to the control group who received traditional surgical debridement, scarring was rated as significantly superior. Conclusions: In summary, it can be concluded that the objective skin quality following enzymatic debridement is comparable to that of healthy skin after 12 months and subjectively fares better than that after tangential excision. This confirms the superiority of enzymatic debridement in the treatment of deep dermal burns of the hand and solidifies its position as the gold standard. Full article
(This article belongs to the Special Issue Burn Treatment and Reconstruction)
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