Ivana J, Sanjaya IGPH, et al.
European burn journal. Date of publication 2025 Sep 8;volume 6(3):.
1. Eur Burn J. 2025 Sep 8;6(3):50. doi: 10.3390/ebj6030050.
Evaluation of the Efficacy of Fish Skin Grafts as Wound Dressings: A Systematic
Review.
Ivana J(1), Sanjaya IGPH(2).
Author information:
(1)Faculty of Medicine, Udayana University, Bali 80234, Indonesia.
(2)Division of Plastic, Reconstructive and Aesthetic Surgery, Faculty of
Medicine, Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Bali
80113, Indonesia.
The use of fish skin grafts as xenografts is a promising alternative for wound
healing. Several studies have shown fish skin grafts to be a safer and more
effective option compared to other alternatives, due to the large amount of
fatty acids, including omega-3, which have been proven to promote wound healing.
The purpose of this study was to evaluate the efficacy of fish skin grafts as
wound dressing. A literature search up to March 2024 was conducted using the
electronic databases of PubMed, Cochrane, and ScienceDirect. A total of 158
patients from six studies were included in this systematic review. All studies
showed early wound healing using fish skin grafts; one study showed that wound
healing was halved compared to paraffin gauze. Complete wound healing using fish
skin grafts was noted as early as 30 days. Out of 114 patients treated with fish
skin grafts, 1 patient showed signs of infection, and no patients showed
allergic reactions. One study also found that fish skin grafts provide
satisfactory wound scar quality. This study concludes that fish skin grafts are
a great alternative and should be considered in wound treatment. The high
omega-3 component that is preserved in fish skin grafts promotes faster wound
healing and contains antibacterial agents that prevent infection. However,
randomized control trials with a larger sample size are recommended to further
assess the efficacy of fish skin grafts.
DOI: 10.3390/ebj6030050
PMCID: PMC12452568
PMID: 40981098
Conflict of interest statement: The authors declare no conflicts of interest.
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