Use of fish skin in reconstructive plastic surgery: integrative review of the literature
DOI:
https://doi.org/10.37497/JMRReview.v2i1.43Keywords:
Plastic Surgery, Reconstructive Surgery, Xenografts, Fish SkinAbstract
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.
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