Literature Review: The Effectiveness of Recell in Wound Healing Burn

Authors

  • Reeny Purnamasari Department of Surgery, Faculty of Medicine, Muslim University of Indonesia
  • Selin Iriana Pasombak Professional Study Program, Faculty of Medicine, Muslim University of Indonesia
  • Solecha Setiawati Department of Dermatology, Venereology and Aesthetics, Faculty of Medicine, Muslim University of Indonesia
  • Berry Erida Hasbi Department of Surgery, Faculty of Medicine, Muslim University of Indonesia

Keywords:

burns, ReCell, autologous skin cell suspension, wound healing.

Abstract

Background: Burns are serious tissue injuries that require rapid treatment to prevent infection, accelerate healing, and reduce the risk of scarring. One therapeutic innovation is Autologous Skin Cell Suspension (ASCS) using the ReCell device. Based on a real-world registry data study from the United States (Burn Care Quality), ReCell uses a small sample of patient skin processed into a cell suspension and sprayed onto the wound to stimulate skin regeneration and improve healing outcomes. Objective: This literature review aims to analyze the effectiveness of ReCell in healing burns based on ten articles published in the period 2018–2025. Methods: The literature review was obtained from PubMed, ScienceDirect, and Google Scholar, then analyzed narratively. Results: The study results showed that ReCell accelerates re-epithelialization with a shorter healing time compared to conventional skin grafts, and reduces the need for a skin donor area by more than 30%. In addition, ReCell provides better aesthetic results, although its effectiveness in reducing pain, infection, and repigmentation has not been consistent. Several pediatric studies also reported the success of ReCell as a monotherapy. Conclusion: ReCell is a promising method to help heal second-degree (deep partial thickness) to third-degree (full thickness) burns.

References

Atiyeh, B.S., Costagliola, M., Hayek, S.N., & Dibo, S.A. (2005). Effect of silver on burn wound infection control and healing: Review of the literature. Burns, 33(2), 139–148.

Gravante, G., Di Fede, M.C., Araco, A., Grimaldi, M., De Angelis, B., Arpino, A & Cervelli, V. (2007). A randomized clinical trial comparing ReCell system of epidermal cells delivery versus classic skin grafts for the treatment of deep partial thickness burns. Burns, 33(8), 966–972.

Herndon, D.N. (2020). Total burn care (5th ed.). Elsevier.

Holmes, J. H., Molnar, J. A., Carter, J. E., Evans, J., Tenenhaus, M., & Kowal-Vern, A. (2019). A comparative effectiveness study of autologous cell harvesting devices to treat burn wounds. Burns, 45(8), 1743–1752.

Holmes, J.H., Molnar, JA, Carter, J.E., Hwang, J., Cairns, B.A., King, B.T., et al. (2018). A comparative study of the ReCell device and autologous split-thickness meshed skin graft in the treatment of acute burn injuries. Journal of Burn Care & Research, 39(5), 673–682.

Jeschke, M.G., van Baar, M.E., Choudhry, M.A., Chung, K.K., Gibran, N.S., & Logsetty, S. (2019). Burn injuries. Nature Reviews Disease Primers, 6(1), 1–25.

Obeid, F.M. (2025). Effect of autologous skin cell suspensions versus standard treatment on re-epithelialization in burn injuries: A meta-analysis of RCTs. Medicina, 61(3), 529.

Puling, IMDR, Giri, NDP, Almadita, T., Limantara, J., & Arviansyah, A. (2025). Optimizing burn injury care: A comparative network meta-analysis of skin grafts' efficacy. Brawijaya Medical Journal, 33(3), 226–235.

World Health Organization. (2018). Burns: Key facts.https://www.who.int/news-room/fact-sheets/detail/burns

Obeid FM. Effect of Autologous Skin Cell Suspensions Versus Standard Treatment on Re-Epithelialization in Burn Injuries: A Meta-Analysis of RCTs.. 2025.

Zhang Y, Guo K, Tian C, Tong L, Hu D, Wang Y. (2024). Limited debridement combined with ReCell techniques for deep second-degree burns. Chinese Journal of Burns. ;40(5):322–8.

Aoki K, Komiya T, Yamashita K, Shimada K, Fujii M, Matsumura H. (2024). A pilot study to evaluate the minimally invasive burn care for small, deep partial-thickness burns of the hands and feet using enzyme debridement and autologous skin cell spray. Journal of Burn Care & Research ;45(1):11–17.

Wala SJ, Patterson K, Scoville S, Srinivas S, Noffsinger D, Fabia R, et al. (2022). A single institution case series of ReCell® use in treating pediatric burns. Burns Open.;6(3):95–102.

Bairagi A, Tyack Z, Kimble R, Vagenas D, McPhail SM, Griffin B.(2023).A pilot randomized controlled trial evaluating a regenerative epithelial suspension for medium-size partial-thickness burns in children: The BRACS trial. Burns.;49(1):130–8.

Puling R, et al. (2025). Comparative effectiveness of skin substitutes in burn care: A network meta-analysis. Wound Repair Regen.;33(2):150–60.

Oshima J, Inoue Y, Sasaki K, Sekido M. (2025). Autologous skin cell suspension monotherapy without split-thickness skin grafting for deep dermal burns in pediatric patients: A case series. Pediatr Burn J ;7(1):25–30.

Cerceo JR, Malkoc A, Nguyen A, Daoud A, Wong DT, Woodward B. (2024). Management of large full-thickness burns using Kerecis™ acellular fish skin graft and ReCell™ autologous skin cell suspension: A case report of two patients with large surface area burns.

Holmes JH IV, Molnar JA, Shupp JW, Hickerson WL, King BT, Foster KN, et al. (2019). Demonstration of the safety and effectiveness of the RECELL® system combined with split-thickness meshed autografts for the reduction of donor skin to treat mixed-depth burn injuries. Burns.;45(4):765–76.

Bairagi A, Griffin B, Tyack Z, Vagenas D, McPhail SM, Kimble R. (2019). Comparative effectiveness of Biobrane®, RECELL® Autologous skin Cell suspension and Silver dressings in partial thickness pediatric burns: BRACS randomized trial protocol. Burns Trauma.;7:33.

Larson KW, Austin CL, Thompson SJ. (2020). Treatment of a full-thickness burn injury with NovoSorb Biodegradable Temporizing Matrix and RECELL Autologous Skin Cell Suspension: a case series. J Burn Care Res ;41(1):215–219.

Malkoc A, Wong DT. (2021). Lessons learned from two survivors of greater than 90% total body surface area full thickness burn injuries using NovoSorb Biodegradable Temporizing Matrix™ and Autologous Skin Cell Suspension, RECELL™: a case series. J Burn Care Res.;42(3):577–585.

Bairagi A, Griffin B, Banani T, McPhail SM, Kimble R, Tyack Z. (2021). A systematic review and meta-analysis of randomized trials evaluating the efficacy of autologous skin cell suspensions for re-epithelialization of acute partial thickness burn injuries and split-thickness skin graft donor sites. Burns.;47(6):1255–1268.

Larson KW, Austin CL, Thompson SJ. Initial experience with autologous skin cell suspension for treatment of deep partial-thickness facial burns. J Burn Care Res. 2020;41(4):715–719.

AVITA Medical. Real-world data shows significant reduction in hospital stays using ReCell in US national burn registry (Burn Care Quality Platform). 2024.

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Published

2025-10-24

How to Cite

Reeny Purnamasari, Selin Iriana Pasombak, Solecha Setiawati, & Berry Erida Hasbi. (2025). Literature Review: The Effectiveness of Recell in Wound Healing Burn. Jurnal EduHealth, 16(04), 1632–1644. Retrieved from https://ejournal.seaninstitute.or.id/index.php/healt/article/view/7439

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