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September 2, 2026International Wound JournalOpen Access

Clinical and Financial Outcomes With Minimally Invasive Excision With Epidermal Autografting and Poly‐Lactic Acid Skin Substitute in Adult Mid‐Deep Dermal Burns

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Authors

TZTony ZhaoKMKaitlyn MalekAKAnjay Khandelwal

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Overview

Retrospective cohort study reveals superior early healing and fewer complications with novel dermal graft in adult burn patients, indicating effective recovery without extended hospital stays.

Key Points

  • To evaluate the clinical and financial outcomes of minimally invasive excision combined with epidermal autografting and poly-lactic acid skin substitute (MEP) versus standard-of-care in adult mid-deep dermal burns.
  • Retrospective cohort study comparing adult patients treated with MEP to a propensity score-matched standard-of-care (SOC) cohort (N=39 pairs).
  • Assessed primary outcome of achieving ≥ 90% wound healing by postoperative day 10, alongside secondary outcomes including length of stay, complications, and hospital financial metrics.
  • Patients treated with MEP were significantly more likely to achieve ≥ 90% wound healing by postoperative day 10 compared with SOC (82.1% vs. 45.5%, p = 0.001).
  • MEP was associated with fewer complications without an increase in hospital length of stay.
  • Although MEP generated higher upfront hospital costs, reimbursement rates between the groups were comparable.

Cite This Study

Zhao et al. (2026) studied this question.

synapsesocial.com/papers/6a98131ec562ede874ec7c09https://doi.org/10.1111/iwj.71028
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