The advantages of Integra have lead to an increase in its use after extensive burn injuries, in reconstructive surgery after burns, and abroad in general reconstructive surgery as well. At the Burn Center of FNsP Hospital in Ostrava Integra was used for the first time in March 2003. Since then, seven patients have undergone operations, involving the use of Integra in 14 body areas. In four of the patients scars after burns were corrected – on the neck, axilla, two on the trunk, two in the popliteal area and one between the toes. In three patients the artificial skin was applied after necronectomy. In a 7-month-old baby and in a 2-year-old child with burn injuries exceeding 25% of the body surface it was applied twice on the trunk, once on the upper extremity and once on the lower extremity. In an adult female Integra was applied on her neck and axilla after burns to a lesser extent.We have evaluated the scars one year after surgery in two patients. Cosmetic appearance was good in both of them.We have noted good functional result after the reconstruction of axilla. After reconstruction in the neck area and reconstruction of the necrectomy in the neck area and axilla, the functional results were average. The average functional results in both patients are probably due to poor compliance with the immobilization and following rehabilitation program.

• MeSH
• lidé MeSH
• popálení chirurgie   terapie   MeSH
• umělá kůže využití   MeSH
• zákroky plastické chirurgie metody   využití   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• kazuistiky MeSH

Integra® artificial skin was applied on 16% of TBSA after necrectomy on a 7-month-old girl who was scalded on 26% of TBSA by her mother when she was cooking goulash. Nutritional parameters were monitored during the period of 25 days from the 1st necrectomy and application of Integra® up to the first autotransplantation – in the period when the other burnt surfaces were almost healed. The average intake of proteins and energy to achieve normal levels of monitored nutritional parameters was lower than that recommended by calculations for similarly burnt children. Our observation is similar to that of King (1).

• Klíčová slova
• Integra,
• MeSH
• kojenec MeSH
• lidé MeSH
• metody výživy MeSH
• nutriční hodnota MeSH
• popálení klasifikace   terapie   MeSH
• poruchy výživy dietoterapie   terapie   MeSH
• umělá kůže využití   MeSH
• Check Tag
• kojenec MeSH
• lidé MeSH
• Publikační typ
• kazuistiky MeSH
• srovnávací studie MeSH