Rcbn skin bank by Dr. Sunil Keswani, National Burns Centre, Airoli

RCBN SKIN BANK ,National Burns Centre,AIROLI

Website- www.skindonation.in

Skin Donation Helpline: 022 2779 3333

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

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http://www.skindonation.in/

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]

Skin banking is a facility where the skin is collected from eligible donor, processed as per international protocols and stored in the skin bank at 4-80 Celsius up to 3years.


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In case of extensive burns, the protective barrier- skin is burnt.

Leading to infection, in most cases it becomes fatal.

Patients can be saved if we have enough skin in Skin bank.


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The estimated annual burn incidence in India is approximately 6-7 million per year.

Nearly 1 to 1.5 lac people get crippled and require multiple surgeries and prolonged rehabilitation

Seventy percent of the burn victims are in most productive age group of 15 to 40 years .

most of the patients belong to poor socioeconomic strata.

Source: Indian J Plast Surg. 2010 September; 43(Suppl): S6–S10.


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Acts as the most effective dressing. Acts as a barrier to infection & the rate

of infection is reduced significantly. Lesser hospital stay. Cost of treatment goes down. Reduced pain. Increased survival rate.


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Burns >30% BSA Adult Burns >10% BSA Children Deep Burns Chemical Burns Electrical Burns Radiation Burns


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1. SETTING UP THE NECESSARY INFRASTRUCTURES AND EQUIPMENTS.

2. RECRUITING MANPOWER.3. CREATING AWARENESS ABOUT SKIN

DONATION.4. RETRIEVAL.5. PROCESSING.6. STORAGE.7. QUALITY MANAGEMENT SYSTEM FOR

CONSISTENT QUALITY. 8. MEDICAL DOCUMENTATION.


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The concept of Skin Bank was originated in India by Late Dr.Manohar H. Keswani out of dire need to save patients with critical burns who were dying because of lack of HOMOGRAFT . In 1972, first skin bank was established at Wadia

children's hospital in Mumbai by Dr. Manohar H Keswani,which was 1st of its kind in India.

Exactly 35 yrs later in 2007, second skin bank in Mumbai was established at National Burn Centre.

ORIGIN OF SKIN BANKING CONCEPTDr. Sunil Keswani, National Burns

Centre, www.burns-india.com, [email protected]

In 2008 Rotary Club of Bombay-North in collaboration with Euro Skin Bank and Rotary Club of Leiden joined hands to make a state-of-the-art Skin Banking facility at National Burns Centre.

The Dream became a Reality on 21St Nov.2009 with the Inauguration of The Skin Bank by the Director of Euro Skin Bank Dr.Welsly Bodha.


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INAUGURATION OF SKIN BANK ON 21ST NOVEMBER 2009Dr. Sunil Keswani, National Burns Centre,

www.burns-india.com, [email protected]

Rotary Club of Leiden

(Mr. Wolf Ondracek)

• National Burns Centre Airoli, Navi Mumbai

Rotary Club of Bombay North (Dr. Satya Agarwala)

Euro Skin Bank (Dr. Welsly Bodha)

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

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Changing Room Skin Processing Room

Cold Room (Outer View)Cold Room (Inner View)


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Shaking incubator

Biosafety cabinetHot air oven

Sealer Centrifuge


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COLLECTION OF BLOOD SAMPLE FOR FOLLOWING TESTS

HIV HBsAg HCV VDRL

PROCEDURE OF SKIN BANKING


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Body is cleaned with Betadine scrub

Skin Harvesting with the help of Dermatome Body is dressed after harvesting

Liquid paraffin is applied


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Skin Processing

85% glycerol is added to skin sample skin is stored at 4-80 Celcius

Trimming the skin sample


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• Donor registration and verification.

• Serological investigation and verification

after death.

• Documentation of different phases of

skin processing in the skin bank.

• Documentation of recipient names,

hospitals and doctors concerned.

• Record of rejected skin during

processing in case any serological

or microbiological test report

is positive .

DOCUMENTATIONDr. Sunil Keswani, National Burns

Centre, www.burns-india.com, [email protected]

India with such a huge population will have no dearth of skin in its SKIN BANKS and a large number of precious lives would be saved if people would come forward in large numbers for SKIN DONATION.


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ESTABLISHMENT OF A NUMBER OF SKIN COLLECTION CENTRES IN AND AROUND MUMBAI

•1st skin collection centre has been set up in BSES hospital, Andheri.•2nd skin collection centre set up in Naval hospital INS ashwini, Mumbai.•3rd Skin Collection Centre has been set up at Bhakti Vedanta Hospital Mumbai. ESTABLISHMENT OF SKIN BANK IN DIFFERENT PARTS OF INDIA

• 1st Skin bank has been set up at Surya hospital, Pune


To become the nodal centre and centre of excellence and establish a network of skin banks in four zones of India in next five years.

To carry out mass awareness campaign to popularize the concept of skin banking in India.

To promote research in developing indigenous cost-effective dermal substitutes and scar management.


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North india- Dayanand medical College Ludhiana- Dr. Sanjeev Uppal

South Zone- St. John Medical College, Bangalore- Rtn. Manohar Menda

South Zone- Rotary Club of Chennai , Chennai- Dr. Nikhil Singhi

East Zone- Sum Hospital, Bhubaneswar- Dr. Jayant Kumar Das


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In India it is not that the people are afraid about skin donation or they do not want to donate their skin. It is because they are not aware about the concept of SKIN DONATIONSo, in the coming year, Skin Donation is our thrust area. We are going to organizing seminars, camps and lectures to create awareness about Skin donation.

DONATE SKIN AND SAVE A LIFE


•Awareness by using newspapers, Magazines and journals

•Conducting lectures in school, colleges and institutes.

•Community Awareness Programme for Skin Donation.

•With the help of NGO’s.

•By organizing Seminars on Skin Donation.

•Awareness by promoting the burns victims to share their trauma in front of the public (Burn survivor community).

AWARENESS

social worker conducting school education programme

Students attending seminar on Skin donation


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Poster to be put in newspaper and residential societies

Table top poster and pledge forms to be kept in hospitals, offices, gyms and public places


STANDEES TO BE PUT ON DISPLAY IN HOSPITALS AND MALLS


PLEDGE FORM TO BE KEPT AT PUBLIC PLACES

Outer View Inner View

Kangaroo Pouch


Pledge Form to be filled and returned to National burns Centre

Magnetic Sticker to be displayed on Fridge as reminder

Cards for the kangaroo pouch for the Pledge Form

Pocket Card for the skin donor


SKIN BANK DATA PERIOD- YR-2012-2013


Monthly Collection of Skin (from Jan- August 2012) Average Number of Donations per month (from Jan- August) -7

Month Collection By NBC Collection by BSES Hospital

Total Collection

January 0 3 3

February 4 4 8

March 5 1 6April 1 3 4

May 8 3 11June 5 1 6

July 4 2 6

August 9 2 11September 7 0 7

TOTAL 43 19 62


Skin Procurement and Usage data from Jan- August 2012Distribution of Donor Skin to different parts of India (Jan-Sept 2012)

Sl. No

Month Amount of Skin procured (sq.cm)

Amount of Skin used (sq.cm)

Number of patients treated at NBC

Number of patients treated outside NBC

Skin Used For Research

1 January 3866 900 0 0 9002 February 18181 1400 0 0 14003 March 14385 3015 0 0 30154 April 8382 5001 0 1 05 May 25601 0 0 0 06 June 8851 1000 0 0 10007 July 11359 1000 0 0 10008 August 29333 9819 02 1 8219 September 18477 1792 0 1792

Total 1,38,435 23927 2 2 14929

1 April 2012 Baby Memorial Hospital Ltd., Kerala2 August 2012 Saint Johns Hospital, Bangalore

Distribution of Donor Skin to different parts of India (Jan-August 2012)


Monthly Collection of Skin(from Jan- August 2013) Average Number of Donations per month (from Jan- Sept.) - 18

Month Collection By NBC Collection by BSES Hospital

Total Collection

January 8 8 16

February 6 6 12

March 9 5 14

April 12 7 19

May 6 8 14

June 13 5 18

July 8 4 12

August 6 2 8September 18 6 24

TOTAL 86 51 161


Sl. No

Month Amount of Skin procured (sq.cm)

Amount of Skin used (sq.cm)

Number of patients treated at NBC

Number of patients treated outside NBC

1 January 26556 5385 3 2

2 February 19361 1276 0 1

3 March 15543 12117 3 2

4 April 27989 34829 11 3

5 May 24900 48279 15 4

6 June 31229 19488 8 1

7 July 18792 10513 5 0

8 August 16287 47237 15 1

9 September 30447 31338 11 5

Total 1,80,657 1,79,124 71 19

Skin Procurement and Usage data from Jan- Sept. 2013


Sl. No

Month Name of Hospital taken donor skin from RCBN Skin Bank

1 January 2013 Amrita Institute of Medical Sciences , Cochin, Kerala2 January 2013 Jubilee Mission Medical College , Thrissur, Kerala3 February 2013 Jubilee Mission Medical College Hospital, Kerala4 March 2013 Aditya Birla Memorial Hospital, Pune5 March 2013 Saint Johns Hospital, Bangalore6 April 2013 KEM Hospital, Mumbai7 April 2013 Jubilee Mission Medical College Hospital, Thrissur, Kerala.8 April 2013 Saint Johns Hospital, Bangalore9 May 2013 Saint Johns Hospital, Bangalore10 May 2013 Jubilee Mission Medical College Hospital, Thrissur, Kerala.11 May 2013 Saint Johns Hospital ,Bangalore12 May 2013 Bombay Hospital, Mumbai13 June 2013 Saint Johns Hospital, Bangalore14 July 2013 Nil15 August 2013 Asian Heart Hospital, Bandra, Mumbai16 Sept 2013 Shalby Hospital, Ahmedabad17 Sept 2013 KEM Hospital Mumbai18 Sept 2013 Jubilee Mission Medical College Hospital, Thrissur,Kerala19 Sept 2013 KEM Hospital Mumbai20 Sept 2013 Kokilaben Dhirubhai hospital Mumbai

Distribution of Donor Skin to different parts of India (Jan-Sept. 2013)


Month Collection By NBC in 2012

Collection By NBC in 2013

Collection by BSES Hospital in 2012

Collection by BSES Hospital in 2013

Total Collection in 2012

Total Collection

January 0 8 3 8 3 16February

4 6 4 6 8 12

March 5 9 1 5 6 14April 1 12 3 7 4 19May 8 6 3 8 11 14June 5 13 1 5 6 18July 4 8 2 4 6 12August 9 6 2 2 11 8September

7 18 0 6 7 24

TOTAL 43 86 19 51 62 137

Comparative study of Monthly Collection of SkinPeriod- Jan- Sept. 2012 & Jan- Sept. 2013)


CLINICAL USE OF

HOMOGRAFT



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Pre-Op wound

Application of Homograft Day 3

Complete healing Day 21


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Skin Donation Helpline:

022 2779 3333

www.skindonation.inwww.burns-india.com


Rcbn skin bank by Dr. Sunil Keswani, National Burns Centre, Airoli

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