skin donation ppt123by dr. sunil keswani, national burns centre, airoli

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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Dr SM KeswaniRC Bombay North Skin BankNational Burns Centre with EURO SKIN BANKAiroli, Navi Mumbaismkeswani@gmail.com

SKIN DONATION AND SKIN BANKING

Most popular organ donation in terms of life-saving is blood and hence most meaningful

Eye donation is fast becoming popular, and one is aware of the possibility to donate eyes after death

Kidneys and liver are donated as well but this is less common due to complexities involved

The next achievable donation will be human skin.

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Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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Is the largest organ of the human body

It protects and drapes the body

It also supports the entire cosmetic industry

The most common cause of skin damage is burns

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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Dry Burns – Flame Scald Burns

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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Thermal Burns

Dr. Sunil Keswani, National Burns Centre, www.burns-

india.com, nbcairoli@gmail.com

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Chemical Burns – Acid, Alkali

Electrical Burns – Electrical Spark and Electrical

Shock

Radiation Burns – Nuclear, Sunburn, X-Rays

Body surface area Intensity of burn (Partial thickness/Full

thickness)

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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India records 70 lakh burn injury cases annually Of which 1.4 lakh people die every year. Around 70% of all burn injuries occur in the

most productive age group (15-35 yrs). Around four out of five burnt cases are women

and children. As many as 80% of cases admitted are a

result of accidents at kitchen-related accidents.

Source: Union Ministry of Health (Govt. of India) Reported by Times of India

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Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

The body’s first line of defense

Is water proof and prevents infection from entering the body

When severely damaged, the defense mechanism breaks down

If untreated, bacterial infection, dehydration, loss of protein and electrolytes takes place

Ultimately the victim dies

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com

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When skin is damaged it either Heals on its own or Needs donor skin or a graft

This grafted skin provides comfort and prevents fluid loss and infection

‘SAVES THE LIFE OF A BURN VICTIM’

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com

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Permanent skin cover: Autograft – From the victim’s unaffected

area

Temporary skin cover: Homograft – Live Donor Allograft – Cadaver Donor Xenograft – Porcine Pigs and Bovine Cows

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com

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Most preferred donor skin

Only the superficial layers of the skin are harvested from thighs and back

No disfigurement

No bleeding

No matching is required

Can be harvested in 45 minutes

Should be harvested within 6 hours after death

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com

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People expired due to:

HIV and Hepatitis negative

Skin disease

Cancer

Active Jaundice

Sexually transmitted disease

Severe infection

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com

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Retrieval

Processing

Storage

Distribution

Medical documentation

Donated skin is a boon to patients with burns

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com

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Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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Dermatome with blade

Cleaning with Betadine

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Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com

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Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com

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Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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DRESSING THE BODY AFTER SKIN HARVESTING

Skin can be stored for a longer time by reducing its metabolism by reducing its temperature

4-6 deg C (Normal Fridge) 3-4wks

-40 deg C (CO2 Snow) 6 months

-196 deg C(Liq N2) 1 yr

Glycerol 85% 3-5 yrs

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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Supported by : RC Bombay North RC Deonar RC Bombay Worli RC Bombay Juhu Beach RC Ghatkopar RC Airoli Linktown INNER WHEEL Dist 3140 ROTARY Dist 3140

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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Mumbai city alone needs 2000 skin donations a year i.e. 5 a day!!

Present supply is 5 a month!!

So many patients are DYING

So many precious human lives could have been saved if ENOUGH donor skin was available

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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Free availability of skin grafts could help in keeping the victim alive

If anyone truly wishes to help burn patients, please consider post-mortem skin donations, much like you might consider donation of other organs

No religion explicitly prohibits organ donation

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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Do inform your family as your next of kin will be asked to make the final decision about you becoming a donor, even if you are registered.

It is important that he or she is aware of your wishes before an emergency arises

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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Skin Bank is a service. It is not a product. It can only work with the cooperation and coordination of the people, for the people.

National Organ Transplant Act prevents the purchase and sale of donor organs.

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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“You give but little when you give of your possessions. It is only when you give of yourself that you truly give”

-Kahlil Gibran The Prophet

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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Those willing to donate skin can contact Burns Helpline 27793333 (24x7

service) Website- www.skindonation.in

Those of you who wish to increase awareness of Skin donation can visit National Burns Centre - Airoli

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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DONATE SKIN AND SAVE A LIFE

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,

nbcairoli@gmail.com

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NATIONAL BURNS CENTRE, Airoli, Navi Mumbai