Tissue equivalent transplantation in the treatment of certain skin injuries

Author:

Fominykh E. M.1,Mitrofanov V. N.2,Zhivtsov O. P.2,Struchkov A. A.2,Zubritskiy V. F.3,Lebedeva Yu. N.4,Vorotelyak E. A.5,Sukhanov Yu. V.

Affiliation:

1. Moscow State University of Food Production; Medical unit of the Ministry of Internal Affairs of the Russian Federation

2. Privolzhskiy Research Medical University

3. Moscow State University of Food Production

4. Main Clinical Hospital of the Ministry of Internal Affairs of the Russian Federation

5. Koltzov Institute of Developmental Biology of Russian Academy of Sciences; Pirogov Russian National Research Medical University

Abstract

Chronic ulcers are a common and socially significant problem worldwide. Autodermoplasty is the gold standard treatment for chronic ulcers. However, it is not always possible to perform this surgical procedure for a rather large group of patients, due to some reasons, which include high risk of autodermotransplant rejection, lack of donor material, and patient’s unwillingness to undergo surgery with an often unpredictable result. A potential solution to the problem is to use skin equivalents from allogeneic donor material. The use of allogeneic (donor) human cells makes it possible to fill the deficit of the patient’s donor resources and close wound without causing additional injury to the patient. This paper provides an overview of the application of foreign and domestic biomedical cell products in clinical trials and real clinical practice. We draw conclusions on the efficiency of the considered biomedical cell products in the treatment of chronic ulcers, evaluate the conducted research, and make recommendations on the most efficient use of allogeneic dermatotropic biomedical cell products.

Publisher

V.I. Shimakov Federal Research Center of Transplantology and Artificial Organs

Subject

Transplantation,Immunology and Allergy

Reference27 articles.

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2. Khrupkin VI, Zubritskiy VF, Ivashkin AN, Artem’ev AA, Fominykh EM. Dermatoplastika ranevykh defectov. M.: GEOTAR-Media, 2009: 192.

3. Ivashkin AN. Vosstanovlenie epitelial’nykh tkaney s ispolzovaniem kriokonservirovannykh zhiznesposobnykh dermotransplantatov i zhivogo ekvivalenta kozhi. [Dissertation]. М., 2009.

4. Snyder DL, Sullivan N, Schoelles KM. Technology Assessment Program Prepared for: Agency for Healthcare Research and Quality. Skin Substitutes for Treating Chronic Wounds. Technology Assessment Report: 540 Gaither Road Rockville, Maryland 20850 (FDA) (December 18, 2012).

5. Fedorov DN, Vasil’ev AV, Ivanov AA. Morfologicheskaya i immunogistokhimicheskaya kharakteristika reparativnykh protsessov v dlitel’no ne zazhivayushchikh ranakh. Arkhiv patologii. 2002; 1: 8–11.

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