This study was performed to compare the healing quality of the allogenic acellular dermal matix (ADM) and xenogenic ADM combined with autologous skin graft. Xenogenic ADM was obtained from two GalT knock-out pigs. Allogenic ADM was obtained from cynomolgus monkeys. ADM was stored with lyophilization. Full-thickness skin wounds were made on the back of two cynomolgus monkeys. In one monkey, wounds were covered by xenogenic ADM combined with autologous skin graft or autologous skin graft only. In another monkey, wounds were covered by allogenic ADM combined with autologous skin graft or autologous skin graft only. Skin healing process was observed during 2 weeks and skin biopsies were performed on 3 months after skin transplantation. We obtained IACUC approval (ORIENT-IACUC-16053)
Skin on the xenogenic ADM was necrotized 1 week after skin transplantation. Possibly due to the thickness of ADM, which block the blood supply from the subcutaneous tissue to the autologous skin graft. Skin biopsy revealed that less fibrotic change of the skin on the ADM compared with the skin without ADM.
Xenogenic ADM can be used in high degree burn patients who can suffered from contracture after healing since it can reduce fibrotic change.

• Kyo Won Lee(Department of Surgery, Division of Transplantation, Samsung Medical Center, Sungkyunkwan University School of Medicine)
• Gyu-Seong Choi(Department of Surgery, Division of Transplantation, Samsung Medical Center, Sungkyunkwan University School of Medicine)
• Ji-Seon Lee(Department of Surgery, Hangang Sacred Heart Hospital, College of Medicine, Hallym University)
• Hyeon Yoon(Department of Surgery, Hangang Sacred Heart Hospital, College of Medicine, Hallym University)
• Wook Chun(Department of Surgery, Hangang Sacred Heart Hospital, College of Medicine, Hallym University)