skin banking is facility where the skin is collected from eligible deceased donor and processed as per international protocols skin can be stored in the skin bank at 4-8degree celsius up to 5 years. the stored skin can be used for burns patient who have Deep Burns,Chemical Burns , Electrical Burns and Radiation Burns.Right hospital started this facility in 2014-first of its kind in Tamill Nadu. this facility is now supported by Rotary Club of chennai Sun City and we have enhanced the Skin Banking facilities.
in a patient with mahor burns the dead skin from thier body should be removed as early as possible to avoid life threatening infection and death. The only way to save the burn vicitims life is to remove the dead skin and replace it with skin graft.There is paucity of skin available and due to this many victims are severely affected.Skin Banking will help these victims to recover fast.
the Estimated annual burn incidence in india is approximately 6-7 million per year,Nearly 1 to 1.5lac people get crippled and required multiple surgeries and prolonged rehabilitation.70% of the burn vicitms are in most productive age group of 15 to 40 years.Most of the patients belong to poor socioeconomic strata.Source:Indian J Plast Surg.2010 September;43(Suppl).
Above 18 years
Free of AIDS,hepatitis and STDs
Free of skin cancer and other skin ailments
Suffering form diabetes,hypertension and cardiac ailments can also donate
Call within 6 hours of death
Skin can be harvested from brain dead patients.
A skin donation procedure takes above 34mins.
Patient need not be brought to hospital permises.
Skin can be harvested from deceased person's home similar to eye donation.
Once call is made for skin donation.A team from the RIGHT hospital skin bank will visit the donars home and the following procedure will be carried out.
consent from the next ofkin will be obtained.
Blood sample will be collected to check for HIV & Hepatitis.
Skin will be harvested from both lower limbs using battery operated dermatome.
After skin harvest both the lower limbs will be covered with dressing.
the entire procedure will take 45 minutes. The harvested skin will be brought to the skin bank for processing and storage.Tis stored skin is used to save major burn victims.
Right hospital has a highly specialised Burns unit for the management of acute and chronic Burns victims.It is neceasary that the victims be treated at the earliest in a centre which is equipped with state of art facility to manage acute Burns. Acute Burns patients face a Life threatening situation and they are at a high risk of dehydration , infection and circulatory shock.It is neceasary that the general condition of the patient be stabilized and provide proper fluid management.
Right hospitals has a team of highly qualified Physicians, Intensivists and Plastic surgeons along with a Highly specialised intensive care unit(ICU), operation theatres (OT) , Blood bank and Skin bank for managing these patients.
Flame / explosion: product that burned/exploded
Remove jewellery and clothing in contact with burn source
Cool affected area as soon as possible (within 3 hours from time of burn) for 20 minutes with cool running water
Never apply ice and avoid use of hydrogel burn products
Cover burn with plastic sheet along the burn (do not wrap circumferentially)
Do not apply plastic cling film to face (use paraffin ointment)
Do not apply plastic cling film to a chemical burn
Discuss chemical burn decontamination with Poisons Information (Tel: 131126)
Appropriately consented photos of burns prior to dressings are useful for ongoing management
Prevent hypothermia in children
Remove wet clothes/dressings after initial cooling
Try to keep child otherwise warm
Cover the wound and the child after assessment
Children have thinner skin than adults, predisposing them to a deeper burn for any given temperature
Assessment of burn depth is difficult, especially early post injury
Young children are at risk of hypothermia, especially during initial cooling of the burn
Burns are described as epidermal, dermal (superficial/mid/deep) and full thickness
Deep and full thickness Burns take a longer time to heal . It is neceasary that deeper wounds get a proper skin cover to prevent infection early in the course of treatment. Skin bank plays a very important role in managing these burns.
Daily treatment is needed. Wound should be inspected for discolouration or hemorrhage and dressing should be done daily to prevent infection. Antibiotics both topical and systemic is needed to prevent infections and avoid septicemia which is very common in burns injury . Appropriate fluid management and blood transfusion may be needed in major burns.
At RIGHT HOSPITALS we have advanced technologies like HYPERBARIC OXYGEN THERAPY which provides 100% oxygen under increased atmospheric pressure which allows better oxygen delivery to the tissues promoting faster healing.
Skin bank is a facility where skin is taken from an eligible donor and processed and stored under appropriate temperature for upto 5 years. The stored skin can be used for Deep burns, chemical burns, electrical burns and radiation burns .