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Medicine, Health Care and Philosophy

Publication date: 2009-01-01
Volume: 12 Pages: 459 - 467
Publisher: Kluwer Academic Publishers

Author:

Trommelmans, Helena
Selling, Joseph ; Dierickx, Kris

Keywords:

Social Sciences, Arts & Humanities, Ethics, History & Philosophy Of Science, Social Sciences - Other Topics, History & Philosophy of Science, Tissue engineering, Regenerative medicine, Paradigm, Research, MESENCHYMAL STEM-CELLS, REGENERATIVE MEDICINE, CLINICAL-TRIALS, SKIN SUBSTITUTES, DRUG-DELIVERY, CARTILAGE, DIFFERENTIATION, PROGRESS, HEART, SCAFFOLDS, Biomedical Research, Humans, Regenerative Medicine, Tissue Engineering, 1117 Public Health and Health Services, 2203 Philosophy, Applied Ethics, 5001 Applied ethics

Abstract:

Ex-vivo tissue engineering is a quickly developing medical technology aiming to regenerate tissue through the introduction of an ex-vivo created tissue construct instead of restoring the damaged tissue to some level of functionality. Tissue engineering is considered by some as a new medical paradigm. We analyse this claim and identify tissue engineering's fundamental characteristics, focusing on the aim of the intervention and on the complexity and continuity of the process. We inquire how these features have an impact not only on the scientific research itself but also on the ethical evaluation of this research. We suggest that viewing tissue engineering as a new medical paradigm allows us to develop a wider perspective for successful investigation instead of focusing on isolated steps of the tissue engineering process in an anecdotal way, which may lead to an inadequate ethical evaluation. We argue that the concept of tissue engineering as a paradigm may benefit the way we address the ethical challenges presented by tissue engineering.