Skin substitutes for extensive burn coverage in Togo: A retrospective study

Four children, from 5 to 10 years aged, presented the Sylvanus Olympio Hospital (SOTH) of Lomé (Togo) with severe (second- and third-degree) burns 25–78% total body surface area (TBSA) due flame in domestic accidents were treated using skin substitutes. We conducted substitution by dermal templates (Integra®) for two children allografts other two. In cases templates, we performed a wound excision on day 30 one case, 28 other. associated coverage template negative pressure therapy; applied graft 18 21. follow-up, observed no complication both cases. allograft, an eschar 8 donor allograft. another 15 while some parts covered autograft. The child died ten hours after last procedure. second patient had sequential excisions coerage others autograft 42 fourth month, was discharged 74%, which completed sixth month. availability compelled choice between access grafting options, such as deceased bank, could allow SOTH surgical team step forward burn care.