Four Layers of Laminated Split-Thickness Skin Graft Harvested in One Stage
Abstract
Background: Conventional split thickness skin grafts have some drawbacks, such as pain, pigmentation changes, hypertrophic scarring, delayed healing, inadequate skin at the donor sites. The author previously reported a modification of skin graft, laminated skin grafts, that can reduced these drawbacks.
Patients and Methods: This article reported another technique of harvesting four layers of thin split thickness skin grafts simultaneously in one stage. During the past 2 years, 24 patients received skin grafts using this technique, 16 males and 8 females, ages ranged from 19 to 60 years, The dimension of skin grafts averaged 3.5 cm in width and 6.4 in length.
Conclusion: After 15 months, the author observed that I) the area of donor site was greatly reduced; 2) the cosmetic effect was satisfactory; and 3) rehabilitation was achieved early. Nevertheless, this technique had some drawbacks such as scaling, temporary milia and longer operative time
References
2. Brown JB, McDowell F. Skin grafting. 3rd ed. Philadelphia: JB Lippincott; 1958.
3. Rudolph R, Fisher JC, Ninnemann JL. Skin grafting. Boston Little Brown; 1979.
4. Thompson N. A clinical and histological investigation into the fate of epithelial elements buried following the graft of "shaved" skin surfaces. Br J Plast Surg 1960;13: 219-42
5. Lopez-mas J, Monasterio FO, Gonzalez MVD, et al. Skin graft pigmentation. Plast Reconstr Surg 1972; 49: 18-21.
6. Rudolph R. Inhibition of myofibroblasts by skin grafts. Plast Reconstr Surg 1979;63: 473-80.
7. Brown D, Garner W, Yong L. Skin grafting: dermal components in inhibition of wound contraction. South Med J 1990 83:789-95.
8. Chuenkongkaew T. Modification of split-thickness skin graft: cosmetic donor site and better recipient site. Ann Plast Surg 2003; 50: 212-4.
9. Jankauska S, Cohen IK, Grabb WC, Basic technique of plastic Surgery. In: Smith JW, Aston SJ, editors. Grabb and Smith's plastic surgery. New York: Little Brown and Company; 1991. p. 3-90.
10. Zarem HA. Transplantation of the skin. In: Krizek TJ, Hoopes JE, editors. Symposium on basic science in plastic surgery. St Louis: CV Mosby Co; 1967. p. 157.
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