Previous studies of the healing process in burn wounds have largely be
en dependent on different animal models. These models are not only eth
ically questionable but are also combined with several systemic variab
les that are difficult to control and standardize. The aim of this stu
dy was to develop a standardized and repeatable in vitro model of the
burn wound in human skin. Burn wounds with a standardized area and dep
th were created in human skin from routine breast reduction operations
and incubated in vitro. The re-epithelialization of the wounds was fo
llowed throughout the time of incubation (14 days) by fixing and stain
ing wounds every second day. After 14 days of incubation, the viabilit
y of the cells in the epidermis and dermis was confirmed by isolation
and culture in vitro. The wounds incubated in 10 per cent fetal calf s
erum were shown to heal after 7 days, whereas wounds incubated in 2 pe
r cent serum did not show any sign of re-epithelization. However, both
epidermal and dermal cells from wounds incubated in 2 per cent serum
were shown to be viable after 2 weeks of incubation. These findings in
dicate that the phases of the healing process in burn wounds, as well
as stimulatory effects on the wound healing process by different pharm
acological agents and treatments. (C) 1997 Elsevier Science Ltd for IS
BI.