Evaluation of Acellular Intact Fish Skin Grafts for Treating Acute and Chronic Wounds.

Acute, chronic, and hard‐to‐heal wounds pose a growing challenge due to reduced patient quality‐of‐life, higher cost and increased hospital admissions. Although there is no gold standard for wound care, there is a trend toward simple, outpatient‐compatible treatment options. Acellular dermal fish sk...

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Publicado en:International Wound Journal Vol. 23; no. 5; pp. 1 - 13
Autores principales: Böddeker, Christopher, Biermann, Sarah, Jansen, Theresa Maria, Homey, Bernhard, Hoff, Norman‐Philipp
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell May2026
Acceso en línea:Ver este registro en EBSCOhost
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    pubinfo:
      dt: May2026
      vid: 23
      iid: 5
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        194010313
        194010313
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        10.1111/iwj.70931
        194010313
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        atl: Evaluation of Acellular Intact Fish Skin Grafts for Treating Acute and Chronic Wounds.
      aug:
        au:
          Böddeker, Christopher
          Biermann, Sarah
          Jansen, Theresa Maria
          Homey, Bernhard
          Hoff, Norman‐Philipp
        affil: Department of Dermatology, University Hospital Duesseldorf, Medical Faculty, Heinrich‐Heine‐University Duesseldorf, Duesseldorf, Germany
      sug:
        subj:
          Wounds, Chronic Therapy
          Fish
          Skin Transplantation
          Xenografts
          Surgery, Operative
          Quality of Life
          Treatment Outcomes
          Human
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Retrospective Design
          Record Review
          Wound Healing
          Photography
          Microscopy
          Patient Satisfaction
          Structured Questionnaires
          Pyoderma Gangrenosum
          Patient-Reported Outcomes
          Nonexperimental Studies
          Questionnaires
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Acute, chronic, and hard‐to‐heal wounds pose a growing challenge due to reduced patient quality‐of‐life, higher cost and increased hospital admissions. Although there is no gold standard for wound care, there is a trend toward simple, outpatient‐compatible treatment options. Acellular dermal fish skin derived from Gadus morhua (Atlantic cod) is a promising alternative. This retrospective study evaluated the surgical procedures and outcomes associated with fish‐skin graft transplantation for difficult‐to‐treat wounds. Forty‐four patients (33 male and 11 female; mean age: 72.4 years; mean wound area: 84.5 cm2) were treated with acellular fish skin graft. Wound healing was assessed by photographic documentation, confocal microscopy and clinical evaluation. Patient satisfaction was assessed using a structured questionnaire. A positive effect on wound healing, defined as a reduction in wound size, was observed in 88.6% of cases, with complete wound closure in 45.45% of cases. Most patients reported that the procedure was neither painful nor time‐intensive; 95% stated that they would opt for treatment again. Fish skin grafting has also shown beneficial outcomes in complex cases, such as in wounds secondary to pyoderma gangrenosum and wounds with exposed bone. Fish skin graft transplantation represents a safe, well‐tolerated and effective option for managing chronic wounds as well as challenging postoperative wounds, such as those at anatomically challenging sites. Highlights: High healing response in real‐world complex wounds.Effective even in anatomically difficult and high‐risk wounds.Minimally invasive, outpatient‐compatible procedure.Excellent safety profile with no major complications.Strong patient acceptance (95% would repeat treatment).Potential to avoid more invasive reconstructive procedures.Evidence for use in rare inflammatory ulcerative conditions.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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