{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:53:09Z","timestamp":1787014389404,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,3,20]],"date-time":"2016-03-20T00:00:00Z","timestamp":1458432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Current wound management through the use of a split\u2010thickness skin graft often requires hospital admission, a period of immobility, attentive donor site wound care and pain management. This study evaluates the feasibility of using a novel epidermal graft\u2010harvesting device (\n                    <jats:styled-content style=\"fixed-case\">CelluTome<\/jats:styled-content>\n                    ) that allows pain\u2010free epidermal skin grafting in the outpatient clinic setting. A prospective series of 35 patients was performed in 2 centres, involving 10 acute and 25 chronic wounds. All patients were subjected to epidermal grafting in the outpatient specialist clinic, without the use of anaesthesia, and allowed to return home after the procedure. Completely healed wounds were noted in 22 patients (62\u00b79%). The overall mean time for 50% and 100% reduction in wound size was 3\u00b731 \u00b1 2\u00b733 and 5\u00b791 \u00b1 3\u00b748 weeks, respectively. There was no significant difference in healing times between the acute and chronic wounds (50% reduction in wound size; acute 2\u00b720 \u00b1 0\u00b791 weeks versus chronic 3\u00b773 \u00b1 2\u00b763 weeks,\n                    <jats:italic>P<\/jats:italic>\n                    = 0\u00b7171. Hundred percent reduction in wound size; acute 4\u00b780 \u00b1 1\u00b761 weeks versus chronic 6\u00b783 \u00b1 4\u00b747 weeks,\n                    <jats:italic>P<\/jats:italic>\n                    = 0\u00b7183). The mean time for donor site healing was 5\u00b749 \u00b1 1\u00b748 days. The mean pain score during graft harvest was 1\u00b742 \u00b1 0\u00b795, and the donor site Vancouver Scar Scale was 0 for all cases at 6 weeks. This automated device offers autologous skin harvesting in the outpatient setting with minimal or no pain and a scar free donor site, equally benefiting both the acute and chronic wounds. It has the potential to save\n                    <jats:styled-content style=\"fixed-case\">NHS<\/jats:styled-content>\n                    resources by eliminating the need for theatre space and a hospital bed while at the same time benefiting patient care.\n                  <\/jats:p>","DOI":"10.1111\/iwj.12595","type":"journal-article","created":{"date-parts":[[2016,3,20]],"date-time":"2016-03-20T21:22:46Z","timestamp":1458508966000},"page":"241-249","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["A prospective, multicentre study on the use of epidermal grafts to optimise outpatient wound management"],"prefix":"10.1111","volume":"14","author":[{"given":"Nadine","family":"Hachach\u2010Haram","sequence":"first","affiliation":[{"name":"Royal Free Hospital Wound Healing Group Department of Plastic and Reconstructive Surgery, The Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Bystrzonowski","sequence":"additional","affiliation":[{"name":"Royal Free Hospital Wound Healing Group Department of Plastic and Reconstructive Surgery, The Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muholan","family":"Kanapathy","sequence":"additional","affiliation":[{"name":"Royal Free Hospital Wound Healing Group Department of Plastic and Reconstructive Surgery, The Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Smith","sequence":"additional","affiliation":[{"name":"Royal Free Hospital Wound Healing Group Department of Plastic and Reconstructive Surgery, The Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Harding","sequence":"additional","affiliation":[{"name":"Wound Healing Research Unit, School of Medicine Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ash","family":"Mosahebi","sequence":"additional","affiliation":[{"name":"Royal Free Hospital Wound Healing Group Department of Plastic and Reconstructive Surgery, The Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toby","family":"Richards","sequence":"additional","affiliation":[{"name":"Royal Free Hospital Wound Healing Group Department of Plastic and Reconstructive Surgery, The Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,20]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"44","article-title":"The burden of chronic wounds in the UK","volume":"104","author":"Posnett J","year":"2008","journal-title":"Nurs Times"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181a8072f"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2009.05.017"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(64)92011-2"},{"key":"e_1_2_5_6_1","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1001\/archderm.1971.04000240016002","article-title":"Epidermal grafting. An original technique and its application in achromic and granulating areas","volume":"104","author":"Falabella R","year":"1971","journal-title":"Arch Dermatol"},{"key":"e_1_2_5_7_1","volume-title":"CelluTome? epidermal harvesting system for autologous skin grafting","author":"Nihr HSC","year":"2014"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000232378.88776.b0"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2007.02148.x"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.12379"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0074-7696(08)62326-8"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00430822"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00709-003-0031-5"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0092-8674(87)90179-6"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000437786.92529.22"},{"key":"e_1_2_5_16_1","first-page":"111","article-title":"Estimating the costs associated with the management of patients with chronic wounds using linked routine data","volume":"10","author":"Phillips CJ","year":"2015","journal-title":"Int Wound J"}],"container-title":["International Wound Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fiwj.12595","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fiwj.12595","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.12595","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T10:16:21Z","timestamp":1696155381000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iwj.12595"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,20]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["10.1111\/iwj.12595"],"URL":"https:\/\/doi.org\/10.1111\/iwj.12595","archive":["Portico"],"relation":{},"ISSN":["1742-4801","1742-481X"],"issn-type":[{"value":"1742-4801","type":"print"},{"value":"1742-481X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,20]]},"assertion":[{"value":"2015-10-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-02-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-03-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}