Skin

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Skin allografts are obtained from human donors and used as temporary covers for burn wounds. They are classified into viable (fresh or cryopreserved) and nonviable (glycerol-preserved) categories, with viability influencing storage duration and use in wound healing.

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from a human donor (deceased or living) and used as a temporary cover for burn wounds. They are classified by cellular viability into two main categories: viable and nonviable allografts. Viable allografts include:

  • Fresh: harvested within 24 hours of donor death, folded in fine-meshed gauze, placed in a nutrient medium such as RPMI 1640 (exchanged every 3 days), and stored at 4 °C for up to 14 days—viability declines from near-baseline to about 50 % between days 5 and 15 post-harvest.
  • Cryopreserved: treated with a cryoprotectant solution (typically 10 % DMSO), frozen at a controlled rate (~1 °C/min), and stored at –80 °C or in liquid nitrogen (–196 °C); this method retains up to 73.4 % of original cell viability and permits storage for up to 5 years.

Nonviable allografts include:

  • Glycerol-preserved: stored in 85 % glycerol at 4 °C for up to 2 years; although cells are nonviable, glycerol preservation markedly reduces antigenicity and confers antimicrobial properties, making these grafts effective as biological dressings despite loss of viability.

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