• Burns · Jun 2024

    Review

    Achieving self-sufficiency in skin allograft: A Singapore experience.

    • Si Jack Chong, Zhen Luan Low, Jialin Yick, Yik Cheong Khoo, and Alvin Wen Choong Chua.
    • Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.
    • Burns. 2024 Jun 1; 50 (5): 106210671062-1067.

    AimThis paper describes how Singapore achieved skin allograft self-sufficiency in 2017 by adopting 5 key strategies in 2012.BackgroundSingapore General Hospital (SGH) established its own allograft recovery programme in 1998 but was still dependent on overseas allograft procurement.Key StrategiesRESULTS: The allograft recovery programme expanded from 4 to all 20 institutions. Donor referrals increased by 42.9% from 35 in 2014 to over 50 currently. Donor numbers increased by 210%, rising from 4.5 per year before 2015 to an average of 14 per year from 2015 to 2022. The total allografts recovered increased by 223%, climbing from 13,000 to 42,000 annually. Cryopreservation was adopted, extending shelf life to 5.5 years and doubling storage capacity to more than 140,000 cm2 in 2022.ConclusionSingapore achieved skin allograft self-sufficiency with no overseas procurement since 2017.Copyright © 2024 Elsevier Ltd and ISBI. All rights reserved.

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