Use of fish skin in reconstructive plastic surgery: integrative review of the literature

Authors

  • Cícero Ricardo Machado de Matos Hospital do Servidor Público Municipal de São Paulo (HSPM), São Paulo - SP
  • Cícera Fabiane Ferreira de Matos Mendonça Instituto de Educação Médica (IDOMED), Juazeiro do Norte – CE

DOI:

https://doi.org/10.37497/JMRReview.v2i1.43

Keywords:

Plastic Surgery, Reconstructive Surgery, Xenografts, Fish Skin

Abstract

Background: The use of fish skin in reconstructive plastic surgery represents an innovative and promising approach. The use of fish skin, such as from tilapia, has been gaining prominence due to its composition rich in collagen, biocompatible properties and low risk of inclusion.

Aim: To carry out a literature review seeking to synthesize the evidence related to the use of fish skin in reconstructive plastic surgery. Method: The PUBMED database was used to select papers, using the following search strategy: (fish[title] AND skin[title]) AND (plastic OR aesthetic OR aesthetic OR reconstructive OR reconstruction). Only clinical trials, observational studies and case reports published in the last 10 years were included in the sample of articles to be evaluated. Results: The search was carried out in October 2023, and the previously requested strategy returned 11 articles. After reading the titles and abstracts, 2 papers were eliminated, one of them because it was carried out on animals, and the other because it was characterized as a clinical trial proposal that had not yet been finalized. Therefore, 9 scientific texts presenting the final sample of this review.

Conclusion: Overall, the studies reviewed indicated that the use of fish skin in reconstructive surgeries proved to be a safe and reliable option. Among the main results, the use of fish skin in the treatment and recovery of wounds in diabetic feet, resulting from the calciphylaxis process, and in the therapeutic approach for necrotic angiodermatitis stood out. It is interesting to highlight the use of fish skin in the neovaginas creation, with the use of Nile tilapia skin in the treatment of Mayer-Rokitansky-Küster-Hauser syndrome in patients who have not had success with dilation therapy, in vaginal stenosis and in primary vaginoplasty in cases of male-female gender transition. However, it is worth highlighting the importance of taking care of the material to be transplanted, which must be sterilized effectively, especially with the use of silver nanoparticles.

Author Biographies

Cícero Ricardo Machado de Matos, Hospital do Servidor Público Municipal de São Paulo (HSPM), São Paulo - SP

Hospital do Servidor Público Municipal de São Paulo (HSPM), São Paulo - SP.

Cícera Fabiane Ferreira de Matos Mendonça, Instituto de Educação Médica (IDOMED), Juazeiro do Norte – CE

2Instituto de Educação Médica (IDOMED), Juazeiro do Norte – CE.

References

CRAWFORD, M. E. Autografts, allografts and xenografts in cutaneous surgery. Lower Extremity Soft Tissue & Cutaneous Plastic Surgery, p. 225, 2012. DOI: https://doi.org/10.1016/B978-0-7020-3136-6.00020-5

DARDARI, D. et al. Curing Necrotic Angiodermatitis with an Intact Fish Skin Graft in a Patient Living with Diabetes. Medicina (Kaunas, Lithuania), v. 58, n. 2, p. 292, 15 fev. 2022. DOI: https://doi.org/10.3390/medicina58020292

DIAS, M. T. P. M. et al. Tilapia fish skin as a new biologic graft for neovaginoplasty in Mayer-Rokitansky-Kuster-Hauser syndrome: a video case report. Fertility and Sterility, v. 112, n. 1, p. 174–176, jul. 2019a. DOI: https://doi.org/10.1016/j.fertnstert.2019.04.003

DIAS, M. T. P. M. et al. Neovaginoplasty for radiation-induced vaginal stenosis using Nile Tilapia Fish Skin as a biological graft. Journal of Surgical Case Reports, v. 2019, n. 11, p. rjz311, nov. 2019b. DOI: https://doi.org/10.1093/jscr/rjz311

DIAS, M. T. P. M. et al. Neovaginoplasty Using Nile Tilapia Fish Skin as a New Biologic Graft in Patients with Mayer-Rokitansky-Küster-Hauser Syndrome. Journal of Minimally Invasive Gynecology, v. 27, n. 4, p. 966–972, 2020. DOI: https://doi.org/10.1016/j.jmig.2019.09.779

ELSHAHAWY, A. M. et al. The optimal concentration of silver nanoparticles in sterilizing fish skin grafts. Scientific Reports, v. 12, n. 1, p. 19483, 14 nov. 2022. DOI: https://doi.org/10.1038/s41598-022-23853-y

ERBA, P. et al. The reconstructive matrix: A new paradigm in reconstructive plastic surgery. Plastic and reconstructive surgery, v. 126, n. 2, p. 492–498, 2010. DOI: https://doi.org/10.1097/PRS.0b013e3181de232b

JÚNIOR, E. M. L. Tecnologias inovadoras: uso da pele da tilápia do Nilo no tratamento de queimaduras e feridas. Rev Bras Queimaduras, v. 16, n. 1, p. 1–2, 2017.

LANTIS II, J. C. et al. Final efficacy and cost analysis of a fish skin graft vs standard of care in the management of chronic diabetic foot ulcers: a prospective, multicenter, randomized controlled clinical trial. Wounds: A Compendium of Clinical Research and Practice, v. 35, n. 4, p. 71–79, abr. 2023. DOI: https://doi.org/10.25270/wnds/22094

RODRÍGUEZ, Á. H. et al. Male-to-Female Gender-Affirming Surgery Using Nile Tilapia Fish Skin as a Biocompatible Graft. Journal of Minimally Invasive Gynecology, v. 27, n. 7, p. 1474–1475, 2020. DOI: https://doi.org/10.1016/j.jmig.2020.02.017

STONE, R. et al. Accelerated wound closure of deep partial thickness burns with acellular fish skin graft. International Journal of Molecular Sciences, v. 22, n. 4, p. 1590, 2021. DOI: https://doi.org/10.3390/ijms22041590

TAN, S. W. et al. Successful treatment of calciphylaxis in a renal transplant recipient with combination of intralesional sodium thiosulphate, intravenous sodium thiosulphate and fish skin graft. The Australasian Journal of Dermatology, v. 62, n. 2, p. e358–e359, maio 2021. DOI: https://doi.org/10.1111/ajd.13556

WOODROW, T.; CHANT, T.; CHANT, H. Treatment of diabetic foot wounds with acellular fish skin graft rich in omega-3: a prospective evaluation. Journal of Wound Care, v. 28, n. 2, p. 76–80, 2 fev. 2019. DOI: https://doi.org/10.12968/jowc.2019.28.2.76

Published

2023-11-21

How to Cite

Machado de Matos, C. R., & Mendonça, C. F. F. de M. (2023). Use of fish skin in reconstructive plastic surgery: integrative review of the literature. Journal of Medical Residency Review, 2(1), e043. https://doi.org/10.37497/JMRReview.v2i1.43

Most read articles by the same author(s)