Experience with the use of close-relative allograft for the management of extensive thermal injury in local national casualties during Operation Iraqi Freedom

Authors

  • MAJ Jonathan B. Lundy, MC, USA
  • COL Leopoldo C. Cancio, MD
  • LTC Booker T. King, MC, USA
  • Steven E. Wolf, MD
  • COL Evan M. Renz, MD
  • COL Lorne H. Blackbourne, MD

DOI:

https://doi.org/10.5055/ajdm.2011.0071

Keywords:

close-relative allograft, combat, burns

Abstract

The care of host nation burn victims in Iraq and Afghanistan has been a significant challenge to US military healthcare providers. To provide burn care in an austere environment is more challenging by limitations in resources such as inadequate medical supplies, infection control issues, and a lack of blood or tissue banking capabilities. Large full thickness burns pose a significant obstacle due to limitations in the casualties’ available donor skin, which can be used to achieve wound coverage. In US burn centers, allograft stored in skin banks provides temporary coverage during donor site healing in the management of large total body surface area burns.This report is a study of two severely burned Iraqi children with inadequate donor site surface area to achieve wound coverage that were managed with close-relative allograft harvested from their fathers to achieve temporary wound closure. A brief literature review and future recommendations are included.

Author Biographies

MAJ Jonathan B. Lundy, MC, USA

US Army Institute of Surgical Research, Fort Sam Houston, Texas.

COL Leopoldo C. Cancio, MD

US Army Institute of Surgical Research, Fort Sam Houston, Texas.

LTC Booker T. King, MC, USA

US Army Institute of Surgical Research, Fort Sam Houston, Texas.

Steven E. Wolf, MD

US Army Institute of Surgical Research, Fort Sam Houston, Texas.

COL Evan M. Renz, MD

US Army Institute of Surgical Research, Fort Sam Houston, Texas.

COL Lorne H. Blackbourne, MD

US Army Institute of Surgical Research, Fort Sam Houston, Texas.

References

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Published

09/01/2011

How to Cite

Lundy, MC, USA, M. J. B., C. L. C. Cancio, MD, L. B. T. King, MC, USA, S. E. Wolf, MD, C. E. M. Renz, MD, and C. L. H. Blackbourne, MD. “Experience With the Use of Close-Relative Allograft for the Management of Extensive Thermal Injury in Local National Casualties During Operation Iraqi Freedom”. American Journal of Disaster Medicine, vol. 6, no. 5, Sept. 2011, pp. 319-24, doi:10.5055/ajdm.2011.0071.

Issue

Section

Case Studies

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