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Skin Donation - A Gift That Saves Lives

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Skin donation can help to save millions of lives across the world. Read the article to learn more about it.

Written by

Dr. Neha Rani

Medically reviewed by

Dr. Dhepe Snehal Madhav

Published At December 15, 2023
Reviewed AtDecember 15, 2023

Introduction

Skin donation is a vital but frequently disregarded component of helping to save lives and restore health. Skin grafts are desperately needed all across the globe, as several million people suffer burn injuries every year. As a result, those with severe burns need intensive medical attention. Tragically, this type of injury is the second most common after road traffic accidents, resulting in permanent disability and other traumas to the surviving victims. This also calls for the need for numerous surgeries and extended rehabilitation of the victims. However, the fate of most burn victims is tragic and fatal.

The importance of skin donation cannot be overemphasized for those who survive. Skin grafts provide critical protection, pain relief, and support for the healing process. They are like a lifeline. The lives of persons suffering from burns, injuries, or skin-related illnesses can be significantly improved by raising awareness of skin donation.

What Is Skin?

The biggest organ in the body is the skin. It acts as a barrier against heat, light, damage, and infection, covering the entire body. The muscles, bones, ligaments, and internal organs underneath are protected by the layers of skin, which are called the epidermis (outer layer), dermis, and hypodermis (bottom layer).

What Is the Importance of Skin Donation?

  • The skin acts as an essential barrier to protect the body from different external elements, and when it is severely injured, the body's capacity for self-healing is diminished. Allografts that use skin from organ donors for patients with severe burns are essential for faster healing, avoiding infections, and easing pain. Skin substitutes become crucial when patients sustain severe burns that prevent them from using their skin. While lesser burns can be treated with skin from the patient's unaffected areas, other sources, such as donated skin, are essential when the damage reaches a certain point. Compared to synthetic alternatives, skin received from donors is the most practical and economical replacement.

  • When skin is unavailable from other sources, live donation from family members may occasionally be the only alternative. However, skin banks must have a plentiful supply of donated skin to save lives.

  • Skin donated following death emerges as the best and most affordable solution for artificial skin. Although it is just meant to be a temporary dressing, its ability to promote a patient's skin regeneration makes it extremely important. It is possible to save several million people in need with enough skin supply from donors, highlighting the vital function skin banks play in the healthcare system.

  • Donating skin after death instead of a conventional burial or cremation is becoming a deep service that helps millions of suffering people. This kind deed highlights the enormous influence of skin donation in saving lives and assisting in the healing process by providing a lifeline for individuals in urgent need of skin grafts.

What Is the Process of Skin Donation?

Skin donation is still an underappreciated but vital gift like organ or tissue donation. Within six hours following the time of death, skin can be donated. Skin banks can be found globally, where skin from the back, thighs, and legs is removed within six hours after death and frozen for up to five years of storage. This resource provides essential grafts for healing without causing physical disfigurement to the donor, acting as a lifeline for burn sufferers. In addition to protecting the donor's dignity, the procedure gives hope to people who have suffered severe burns. Many people in great need benefit from this priceless gesture, which frequently goes unrecognized yet significantly impacts their rehabilitation and recovery.

What Conditions Make Skin Unfit for Donation?

The suitability of skin donation is carefully evaluated, with the exclusion of people with diseases like AIDS (acquired immunodeficiency syndrome), hepatitis B and C, STD (sexually transmitted disease), active skin disease, skin cancer, and sepsis. A blood sample is taken at the same time as the skin is taken from the deceased. The skin bank carefully tests donated skin for HIV, viral indicators, and hepatitis to guarantee the quality and safety of the skin for transplantation. The rigorous examination process adheres to strict skin donation protocol criteria to maintain potential recipients' general well-being.

Who Can Donate Skin?

The minimum age requirement for donors is 18, and there is no maximum age limit. Donors of any gender and blood group are eligible. Anyone can be a potential donor for skin therapy, regardless of age (up to 100 years old). People who have evidence of skin cancer, HIV, Hepatitis B and C, STDs, systemic infections, septicemia, or skin infections are excluded. This extensive qualifying structure guarantees that most people can donate skin for treatment as per safety requirements for the well-being of recipients. Even donors with systemic diseases like diabetes and hypertension can be skin donors.

What Is the Procedure for Skin Donation?

The team, which consists of a doctor, two nurses, and an attendant, carefully determines the reason for death and any contraindications. Before moving further, they obtain the required paperwork, including the death certificate and approval from the donor's family. A blood sample from the deceased is taken during skin harvesting so that it can be checked for STD, HIV, and hepatitis at the skin bank.

The procedure, which takes around 45 minutes, includes gathering skin from the legs, abdomen, and back. The topmost layer, 1/8th of the skin's depth, is the only part removed; therefore, the body's appearance is not significantly altered. Even to those paying their respects, the tiny amount of excised skin remains unnoticeable and leaves no obvious disfigurement. This simplified process facilitates skin donation for medical reasons while upholding the donor's right to privacy.

Is Skin Donation Possible After Cardiac Death?

Skin donation can happen following cardiac death, which is the stopping of the heart's function and beating. Skin donation is permitted even in cases of cardiac death, unlike organ donation, which can only occur once a person has been deemed brain dead. Brain death is the loss of brain function while the body is kept alive artificially, such as with the help of a ventilator which is possible under certain hospital circumstances. Even if brain death does not match the requirements for organ donation, skin, and eye donation remains a possibility for those who choose to donate these tissues for therapeutic purposes following cardiac death.

Conclusion

Donating skin has the power to change and save lives, especially for those who have suffered severe burns or other skin-related injuries and diseases. People can work together to create a society where many people in need have easy access to life-saving therapies and healing by promoting an environment of compassion, understanding, and appreciation for skin donation. By raising awareness of the value of skin donation and bridging the gap between the supply and demand for skin grafts, innumerable people in need could find relief and understanding.

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Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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