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Introduction: The epidemiological trends in burns vary in different regions of the world.There are only few population-based reports on this topic in Poland.The aim of this study is to analyze statistics and epidemiology of burn patients. This can create a basis for improving the prevention of burns and their treatment. Methods: This retrospective study analysis the data of burn patients admitted to the University Clinical Center in Gdańsk from 2017 to 2022. Patients were included if their primary or secondary diagnosis was burn, according to ICD. A descriptive statistics were used to describe demographics, injury and management. Results: 584 patients were included in the study. The dominant age group were patients aged 20–29 (139–23,8%), followed by patients aged 30–39 (118–20,2%) and 40–49 (100–17,1%). Men accounted for 338 cases (57,9%), women for 246 (42,1%). The most numerous were burns of thermal etiology (391–67%), followed by chemical burns (172–29,3%). Among thermal burns, scalds and flames were responsible for 297 cases. Head was the most common burn location (281–48,1%), followed by the upper limb (263–45%). It varied depending on gender. Among 355 burn cases characterized with the degree of the burn, second-degree burns were the largest group − 197 cases (60,6%). Plastic, ophthalmological and laryngological consultations are the most frequently ordered type in the Hospital Emergency Department. 163 burn patients required hospitalization. Conclusions: The results obtained in our study are consistent with those of burn victims in other international studies in this field. It is crucial to conduct further epidemiological analysis to better quantify the impact of burns in Poland and to improve the treatment of burn patients.

The aim of the study is to present the preliminary results of the in vivo application of Komagataeibacter xylinum E25 bacterial cellulose (BC) as a replacement material for produced defects during operations. Three pigs (sus scrofa domestica) had the same defects in the ear cartilage (4 × 4 cm) and in the rectus abdominis muscle (6 × 10 cm) with BC membranes implanted into them. The time of observation of the condition of the animals was 3 months. Implantation sites did not show clinical signs of complications in the form of inflammation or necrosis. Histologically, a normal scar was produced as a result of the material healing into the host’s body. In one case, no residual implant material was found at the site of implantation, and the remodeled scar confirmed healing. No systemic inflammatory reaction was observed in any of the animals. The host organism’s reaction to the bacterial cellulose allows us to believe that it meets the expectations as a material that can be widely used in reconstructive surgery. Nevertheless, this requires further research on a larger group and also using other foreign bodies. The next step would be an experiment on a group consisting of people.

Although new therapeutic approaches for surgery and wound healing have recently made a great progress, there is still need for application of better and use novel methods to enhance biocompatibility as well as recovery and healing process. Bacterial Cellulose (BC) is natural cellulose in the form of nanostructure which has the advantages of being used in human body. The medical application of BC in reconstructive, cardiac and vascular surgery as well as wound healing is still under development, but without proved success of repetitive results. A review of studies on Bacterial Cellulose (BC) since 2016 was performed, taking into account the latest reports on the clinical use of BC. In addition, data on the physicochemical properties of BC were used. In all the works, satisfactory results of using Bacterial Cellulose were obtained. In all presented studies various BC implants demonstrated their best performance. Additionally, the works show that BC has the capacity to reach physiological as well as mechanical properties of relevance for various tissue replacement and can be produced in surgeons as well as patient specific expectations such as ear frames, vascular tubes or heart valves as well as wound healing dressings. Results of those experiments conform to those of previous reports utilizing ADM (acellular dermal matrix) and demonstrate that the use of BC has no adverse effects such as ulceration or extrusion and possesses expected properties. Based on preliminary animal as well as the few clinical data BC fittings are promising implants for various reconstructive applications since they are biocompatible with properties allowing blood flow, attach easily to wound bed and remain in place until donor site is healed properly. Additionally, this review shows that BC can be fabricated into patient specific shapes and size, with capability to reach mechanical properties of relevance for heart valve, ear, and muscle replacement. Bacterial cellulose appears, as shown in the above review, to be one of the materials that allow extensive application in the reconstruction after soft tissue defects. Review was created to show the needs of surgeons and the possibilities of using BC through the eyes and knowledge of biotechnologists.