The document discusses skin donation and skin banking. It provides information on the need for skin donations in India to help burn victims, the skin donation process from harvesting to storage, and efforts to promote skin donation awareness and increase donor rates. It aims to educate people on the importance of skin donation in saving lives and encourages them to consider registering as skin donors.

1. SKIN DONATION AND SKIN
BANKING
DR SUNIL KESWANI
Plastic Surgeon
National Burns Centre,Mumbai
with EURO SKIN BANK,Netherlands
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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2. WE MAKE
BY
BUT
WHAT
A
WE GET,
WE MAKE
BY
LIVING
WHAT
A
LIFE
WE
GIVE.
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
Sir Winston Churchill
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3. organ donation
gift a life…..
Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
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4. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
Organ Donors Per Million
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5. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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6. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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7.  India
records 70 lakh burn injury cases annually
 Of which 1.4 lakh people die every year.
 Around 70% of all burn injuries occur in the most
productive age group (15-35 yrs).
 Around four out of five burnt cases are women
and children.
 As many as 80% of cases admitted are a result
of accidents at kitchen-related accidents.


Source: Union Ministry of Health (Govt. of India)
Reported by Times of India
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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8. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
nbcairoli@gmail.com

The body’s first line of defense

Is water proof and prevents infection from
entering the body

When severely damaged, the defense mechanism
breaks down

If untreated, bacterial infection, dehydration,
loss of protein and electrolytes takes place

Ultimately the victim dies
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9. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
nbcairoli@gmail.com

When skin is damaged it either
 Heals
on its own
or
 Needs donor skin or a graft

This grafted skin provides comfort and
prevents fluid loss and infection
‘SAVES THE LIFE OF A BURN VICTIM’
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10. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
nbcairoli@gmail.com

Permanent skin cover:
 Autograft

– From the victim’s unaffected area
Temporary skin cover:
 Homograft
– Live Donor
 Allograft – Cadaver Donor
 Xenograft – Porcine Pigs and Bovine Cows
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11. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
nbcairoli@gmail.com

Most preferred donor skin

Only the superficial layers of the skin are
harvested from thighs and back

No disfigurement

No bleeding

No matching is required

Can be harvested in 45 minutes

Should be harvested within 6 hours after
death
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12. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com,
nbcairoli@gmail.com
People expired due to:

HIV and Hepatitis negative

Skin disease

Cancer

Active Jaundice

Sexually transmitted disease

Severe infection
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13. Dr. Sunil Keswani, National Burns Centre,
www.burns-india.com, nbcairoli@gmail.com
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14. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com

Retrieval

Processing

Storage

Distribution

Medical documentation
Donated skin is a boon to patients
with burns
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15. 




TOTAL SIX TO EIGHT PERSONS
REQUIRED FOR SKIN BANK.
MANAGER.
QUALITY SYSTEMS MANAGER.
FOUR PERSONS FOR PROCESSING
SKIN
TWO TEAMS FOR SKIN RETRIEVAL
IN EACH THREE MEMBERS.
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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16. PROTOCOL FOR RETRIEVAL :









SHAVING AND CLEANING WITH WATER
SCRUBBING WITH BETADINE SCRUB
SHOWER WASH
DRAPING WITH STERILE SHEET
CLEANING WITH STERILIUM
LUBRICATING WITH PARAFFIN
PROCURING SKIN OF DIFFERENT
THICKNESS
PRESERVING HARVESTED SKIN IN 50%
GLYCEROL
KEEPING IT IN REFRIGERATOR FOR 2
HRS.AT 4-6 °C
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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17. 



TO CHECK HARVESTED SKIN AND TO LUBRICATE IT
PROPERLY.
PUT ALL PIECES OF SKIN IN 85% GLYCEROL.
SHAKE THE SKIN WITH 85% GLYCEROL FOR 3 HRS.
AT 33°C. IN SHAKING INCUBATOR.
AFTER 3 HRS, KEEP IN FREEZER UPTO 8°C FOR 4-6
WEEK TILL SEROLOGICAL REPORTS (RED LABEL)
COME.
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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18. •
•
•
•
•
AFTER 4-6 WEEKS, TAKE OUT THE SKIN FROM
FREEZER INTO BIOSAFETY CABINET.
MAKE THE STRIPES SYMMETRICAL .
GRADE THE THICKNESS SKIN TO 2, 2+, 3,3+,
4, EACH WILL BE 3.5 CM IN WIDTH
(MINIMUM).
PUT EACH STRIPS INTO THE CONTAINER WITH
85 % GLYCEROL, WHICH WILL BE READY FOR
USE.
SEND REMAINING CUT PIECES TO RESEARCH
LAB.
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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19. REQUIRED MATERIALS FOR RETRIEVAL
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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20. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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21. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
Cleaning with Betadine
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22. Dr. Sunil Keswani, National Burns Centre,
www.burns-india.com, nbcairoli@gmail.com
Dermatome with
blade
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23. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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24. Dr. Sunil Keswani, National Burns Centre,
www.burns-india.com, nbcairoli@gmail.com
DRESSING THE BODY AFTER SKIN HARVESTING
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25. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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26. Skin Processing Room
Skin Processing Room
Shaking incubator for lubricating skin
Shaking incubator for lubricating skin
in glycerol
in glycerol
Cold Room (Outer View)
Cold Room (Outer View)
Biosafety cabinet to maintain sterility
Biosafety cabinet to maintain sterility
during skin processing
during skin processing
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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27. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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28. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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29. MESHING OF THICK SKIN
(2+,3,3+,4) IN THE MESHER.
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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30. MESHED AND UNMEHSED SKIN PRESERVED IN SMALL
STERILE CONTAINER CONTAING 85% GLYCEROL. AND
STORED IN FREEZER AT 4-8°C.
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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31. KEEP THE SKIN (GPA) IN SKIN BANK AT 4-8 °C AND DO MICROBIOLOGICAL TESTING
EVERY THREE MONTHS
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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32. 




Donor registration verification.
Serological investigation verification after
death.
Documentation of different phase of skin
processing in skin bank .
Documentation of recipient name and hospital
and Doctor concerned.
Record of rejected skin during the processing if
the any serological finding ,microbiological
test report are awaited .
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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33. Dr. Sunil Keswani, National Burns Centre,
www.burns-india.com, nbcairoli@gmail.com

Mumbai city alone needs 2000 skin
donations a year i.e. 5 a day!!

Present supply is 5 a month!!

So many patients are DYING

So many precious human lives could have
been saved if ENOUGH donor skin was
available
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34.  Who performs the Skin Harvesting procedure?
Skin Harvesting is performed by Skin donation Team
consisting of one Doctor, two Nurses and one attendant
 How the skin is harvested?
A special instrument called DERMATOME harvests skin, it is a
battery-operated instrument made exclusively for skin
harvesting only
 Where and how much time the whole Skin
Donation procedure takes?
Skin Bank Team will come to the donor’s home, hospital or
morgue wherever the donor is kept. We don’t need to
shift the donor to the operating room, hospital or
ambulance. The whole procedure takes only about 30 –
45 minutes.
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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35.  From which part of the body skin is harvested?
Skin is harvested from both the legs, both the thighs and the
back
 Is entire thickness of the skin is harvested?
NO, there are total 8 layers of skin; we harvest only the 1/8th
layer i.e. the uppermost layer of the skin is only harvested
 Is their any bleeding or disfigurement to the body?
No, there is no bleeding from the site where skin if harvested
from and there is no disfigurement to the body also.
After the procedure we bandage the parts from where
skin is harvested in a proper way
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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36.  Is the consent for skin donation is taken before the
skin harvesting procedure?
Yes, a doctor will take consent of the next of kin of the
donor and also a witness is required to sign the consent
form before we start the procedure. The whole
procedure will be explained to you by the Doctor before
start of the procedure
 Do we have to pay the Skin Donation Team?
No, you don’t have to pay anything to the Skin Donation
Team, selling & buying organs is illegal
 Do we need to produce any documents to the Skin
Bank Team when they arrive?
Yes, you need to produce the DEATH CERTIFICATE and its
photocopy that will be evaluated by the Team Doctor
before starting the procedure
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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37.  How will my donation be used?
After the skin is harvested, skin will be evaluated, processed,
screened at our skin bank, and then supplied to the
Burns Surgeon for transplanting on burn patients
 How do you preserve the skin & how long it can be
preserved?
We preserve skin in 85% glycerol solution, it is stored
between 4-5 degree Celsius and it can be stored for a
period of 5 years
 Is there any kind of Donor-Recipient matching
required for skin transplant?
No, any one’s skin can be transplanted on any one, there is
no blood matching, no color matching, no age
matching required. Once all the blood reports are
negative theNational Burnsskin can be transplanted freely
Dr. Sunil Keswani, donor Centre, www.burnsindia.com, nbcairoli@gmail.com
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38.  Is it compulsory to pledge or register ourselves with
the skin bank if we wish to donate skin?
No, it’s not compulsory to pledge or register, even if you
have not registered harvesting can be carried out once
a call is made in time.
If you register, a Skin Donor I.D Card is provided to you
along with a Skin donation Magnetic Sticker, “I AM A
SKIN DONOR” Pocket card for future references.
You can register online on www.skindonation.in
 If we want to call the Skin Bank Team for a skin
donation call what should we do?
You can call us on the 24 hours SKIN DONATION HELPLINE
NUMBER 27793333. There is a team on stand by 24 hours;
a skin donation team will carry out the call irrespective
of time
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
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39. Awareness in social
communities
Awareness in corporate
offices
Volunteer in Operation
Restore
And, finally take
the decision to
donate when the
Awareness in schools
Participate in the Organ
and colleges
Donation Week
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
‘Time’ comes
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40. Dr. Sunil Keswani, National Burns Centre,
www.burns-india.com, nbcairoli@gmail.com

Free availability of skin grafts could help
in keeping the victim alive

If anyone truly wishes to help burn
patients, please consider post-mortem
skin donations, much like you might
consider donation of other organs

No religion explicitly prohibits organ
donation
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41. Dr. Sunil Keswani, National Burns Centre,
www.burns-india.com, nbcairoli@gmail.com

Do inform your family as your
next of kin will be asked to
make the final decision about
you becoming a donor, even if
you are registered.

It is important that he or she is
aware of your wishes before an
emergency arises
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42. Dr. Sunil Keswani, National Burns Centre,
www.burns-india.com, nbcairoli@gmail.com

Skin Bank is a service. It is not a product.
It can only work with the cooperation and
coordination of the people, for the
people.

National Organ Transplant Act prevents
the purchase and sale of donor organs.
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43. Dr. Sunil Keswani, National Burns Centre,
www.burns-india.com, nbcairoli@gmail.com
“You give but little when you give of your
possessions. It is only when you give of yourself
that you truly give”
-Kahlil Gibran
The Prophet
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44. Do visit us and see our facilities
www.skindonation.in
skinbanknbc@gmail.com
Partnering NBC are
Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
Amsterdam
Skin Donation
Helpline:
022 2779 3333
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