Postage Stamp-Sized Graft Grows Skin for Burn Patients
Imagine the ability to grow your own skin – in a lab. It’s a particularly exciting breakthrough for burn patients and the experts who treat them. Surgeons & researchers at CHI Health St. Elizabeth Regional Burn and Wound Center are participating in research for the treatment of deep burns comprising total body surface area ranging from 30 to 90%. This research innovation involves growing skin for patients using their own skin cells.
It starts with a small graft of healthy skin the size of a postage stamp taken from the patient. This biopsy then goes through a sophisticated culture process to promote cell growth and eventual creation of sufficient numbers of sheets of skin that can be grafted on the affected patient, in effect restoring the vital skin covering that a person needs to survive. As the only verified burn center in Nebraska, the CHI Health St. Elizabeth Regional Burn and Wound Center is committed to participating in research and innovation to provide the best possible treatment to every patient that comes into their care.
What these physicians and researchers know, and many people don’t realize, is that the skin of the human person is an incredible part of the body structure. It is the largest organ of the body — accounting for up to 15 percent of a person’s total body weight. It guards the underlying muscles, bones, and internal organs, and provides insulation, temperature regulation and sensory capabilities.
Burn wounds and trauma constitutes one of the most serious attacks to the skin of a person, especially when the burn areas is severe, deep and large. Burn damage to skin is most significant because it causes skin cells to die. People can easily recover from small or non-serious burns. However, serious burns require immediate emergency care to prevent complications and death.
Long-term survival and quality of life for the severe burn trauma patients often requires surgical therapy to replace damaged skin. This involves excision or removal of necrotic or damaged skin, and covering the wound as soon as possible.
Many different techniques can be used to provide the covering once damaged skin is removed. These include harvesting undamaged skin from another part of the body, using cadaver skin as temporary covering, or using fabricated dermal regeneration products (skin substitutes). However, in some cases these techniques are not an option or can prove to be ineffective.
The ability to grow skin from a patient’s own cells – particularly from a small graft — represents a significant advance and addition to the treatment options available to burn patients.
Paul Edwards is the Manager of Clinical Research at CHI Health. He manages the research network across Lincoln (CHI Health St. Elizabeth), Grand Island (CHI Health St. Francis), and Kearney (CHI Health Good Samaritan). The network conducts research in a number of indicators to include cardiovascular, wound care, burn/trauma, oncology, interventional radiology, neurology, endocrinology, and women’s health.
Paul began his career in healthcare in 1988 as a Paramedic after earning his degree from Creighton University. He has been with CHI Health for 17 years.
He is certified in Bioethics by the National Catholic Bioethics Center, Research Compliance by the Health Care Compliance Association and in Clinical Research by the Association Clinical Research Personnel.
He holds Bachelor of Arts (Double Major) in Public Administration and Human Relations from Doane University and a Masters of Science in Health Care Ethics from Creighton University.
Paul is a lifelong Nebraskan and has an honorable discharge after 4 years of service in the United States Army. He is an avid University of Nebraska football fan. He enjoys walking, hiking, and jogging.