抄録
Cultured epidermal autografts have been used in recent years, despite the difficulty of treating extensive burns. Appropriate wound management after cultured epidermal autograft device transfer is also necessary. Physicians must ensure appropriate cultured epidermal autograft administration by managing the growth of microorganisms and meticulously changing patients’ dressings. Moreover, cultured epidermal autograft requires a dry environment and exposure to air after engraftment. We provide a better dressing environment using the newly developed material Aquacel® Ag Advantage to manage wounds. A 71-year-old man sustained extensive burns on the right upper extremity, left arm, face and neck, chest, abdomen, anterior thighs, and right back. The total burn area was 38%, and the majority were full-thickness burns. Burn inhalation complicated the patient’s condition. We performed consecutive surgical operations of debridement and skin grafting of the cultured epidermal autografts. We used Aquacel® Ag Advantage to manage the burn wounds after cultured epidermal autograft transfer, which helped control the growth of the resistant microbes Pseudomonas aeruginosa, and prevented adherence when changing dressings. This approach also absorbs the extra exudate, thereby keeping the surface of the cultured epidermal autograft dry. This innovative dressing approach may substitute air exposure following cultured epidermal autograft, hence increasing the cultured epidermal autograft take ratio.
