Modified butter knife as a good transporter of epidermal graft

Congenital and especially recurrent complex pathologies of the corpora cavernosa need an integrated surgical approach (urological and plastic surgery). The fields of application of these techniques are: a) correction of congenital pathologies of the male genitalia; b) genital reconstruction after radical pelvic surgery; c) genital reconstruction after trauma. An adequate experience in surgery of flaps, the knowledge of their vascularisation and biology, the observance of particular intraoperative procedures and an accurate postoperative management are mandatory. This is also the case of surgery in female to male transsexuals. Different techniques have been proposed but few of them give aesthetically and functionally satisfactory results. In our experience clitoridal enlargement and urethral transfer, in anatomically selected patients and after substitutive hormonal therapy, give sufficient guarrantee of conservation of sensitivity and erectile capacity and have a positive psychological impact on the patient. When cosmetic dimensional emphasis is required as regards the neophalius the transfer of a rectal abdominal muscle flap with epidermal graft has given, in our experience, satisfactory results.

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736 Autologous Skin Cell Suspension in Combination with Meshed Autograft: A Case Report Demonstrating the Efficacy in NSTI

Journal of Burn Care & Research ◽

10.1093/jbcr/iraa024.319 ◽

2020 ◽

Vol 41 (Supplement_1) ◽

pp. S200-S200

Author(s):

Nicole M Kopari

Keyword(s):

Case Report ◽

Soft Tissue ◽

Cell Suspension ◽

Skin Graft ◽

Donor Site ◽

Soft Tissue Coverage ◽

Abdominal Wound ◽

Skin Cell ◽

Complex Wounds ◽

Epidermal Graft

Abstract Introduction Necrotizing soft tissue infections (NSTIs) are some of the more difficult disease processes encountered by physicians. Most patients require multiple surgical debridements, and survivors often have complex wounds requiring soft tissue coverage and prolonged hospitalizations. The goal of this report is to describe the use of autologous skin cell suspension over widely meshed skin graft in a patient with large wound secondary to a NSTI. Methods A retrospective chart review was performed of a patient with NSTI of the abdomen.The patient received autologous skin cell suspension as an epidermal graft in combination with widely meshed skin grafting. Results A 41 year-old female had an abdominal wound infection resulting in a NSTI. The patients had poorly controlled diabetes, congestive heart failure, and coronary heart disease with a drug eluting stent on dual antiplatelet therapy. She presented septic to an outside facility where she underwent multiple abdominal wound debridements. She was transferred to our institution with concerns for ongoing infection. Upon arrival, the wounds appeared stable with granulation tissue present over the wound bed with small areas of necrotic fat. She underwent debridement and autologous skin cell suspension in combination with a widely (3:1) meshed skin graft. The donor site also received treatment with the cell suspension. The wounds were covered with a non-adherent dressing along with bismuth-impregnated, petroleum-based gauze. Additional padding was secured with sutures to prevent post-operative shearing. On post-operative day (POD) 2 the outer dressings were changed with excellent adherence of the graft. On POD 4 her dressings were taken down completely, staples were removed, and she was transitioned to daily topical antimicrobial ointment and a non-adherent dress to her torso. She had >95% closure on POD 7 on both her graft and donor site. Conclusions Similar to severe burn injuries, the magnitude and scope of NSTI necessitates radical debridement often creating challenges in wound care, preservation of function, and cosmesis. Autologous skin cell suspension in combination with widely meshed skin grafts appear to be well-suited for treatment of large wounds resulting from NSTI. Treatment of this patient demonstrated decreased healing times, decreased donor sites, and an acceptable cosmetic outcome. Applicability of Research to Practice Autologous skin cell suspension has been approved for the use in partial and full thickness burn either as an epidermal graft alone or in combination with widely meshed grafts. This case report represents an example of its use in large complex wounds secondary to NSTI with acceptable outcomes.

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SUPPRESSION OF EPIDERMAL GRAFT-VERSUS-HOST DISEASE WITH ULTRAVIOLET RADIATION

Transplantation Journal ◽

10.1097/00007890-198402000-00018 ◽

1984 ◽

Vol 37 (2) ◽

pp. 211-212 ◽

Cited By ~ 16

Author(s):

&NA;

Keyword(s):

Ultraviolet Radiation ◽

Graft Versus Host Disease ◽

Host Disease ◽

Graft Versus Host ◽

Epidermal Graft

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Surgical Pearl: Gloved finger as a transport platform for epidermal graft of suction blister

Journal of the American Academy of Dermatology ◽

10.1016/j.jaad.2005.04.022 ◽

2007 ◽

Vol 57 (5) ◽

pp. S118-S119 ◽

Cited By ~ 1

Author(s):

Chandrashekar Laxmisha ◽

Devinder Mohan Thappa

Keyword(s):

Suction Blister ◽

Epidermal Graft

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A comparative study of suction blister epidermal grafting and automated blister epidermal micrograft in stable vitiligo

Scientific Reports ◽

10.1038/s41598-021-04299-0 ◽

2022 ◽

Vol 12 (1) ◽

Author(s):

Pei-Rong Gao ◽

Chi-Hui Wang ◽

Yu-Jr Lin ◽

Yu-Huei Huang ◽

Ya-Ching Chang ◽

...

Keyword(s):

Donor Site ◽

Life Quality ◽

Physician Global Assessment ◽

Operator Experience ◽

Suction Blister ◽

Surgical Methods ◽

The Face ◽

Procedure Learning ◽

The Cost ◽

Epidermal Graft

AbstractThe automated blister epidermal micrograft (ABEM) is a newly introduced surgical transplantation for refractory vitiligo. Comparative analysis of other surgical methods is lacking. We conducted a retrospective study to compare the efficacy, safety, and experience of ABEM with conventional suction blister epidermal graft (SBEG). A total of 118 anatomically based vitiligo lesions from 75 patients were included. The primary outcome was the degree of repigmentation; the patient and operator experience were evaluated. SBEG had a significantly greater incidence of repigmentation (p < 0.001), as measured by the Physician Global Assessment, as well as improvements in the Vitiligo Area Scoring Index, particularly on the face/neck area (p < 0.001). ABEM, on the contrary, had reduced donor harvest time, a better patient operative experience, and more significant Dermatology Life Quality Index improvements. In a subgroup of 38 lesions from ten patients who received both SBEG and ABEM concomitantly, there was no difference in the degree of repigmentation in the same recipient area. Overall, the degree of repigmentation for SBEG is higher than ABEM, especially in the mobilized region, and the cost is less expensive. On the contrary, ABEM requires less procedure learning curve and can supply a greater transplanting zone with shorter donor site recovery. Understanding the benefits and drawbacks of two blister grafting procedures is essential for optimal surgical outcomes for vitiligo grafting.

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Epidermal Graft Accelerates the Healing of Acute Wound

Plastic & Reconstructive Surgery Global Open ◽

10.1097/gox.0000000000001119 ◽

2016 ◽

Vol 4 (11) ◽

pp. e1119 ◽

Cited By ~ 3

Author(s):

Nicola Bystrzonowski ◽

Nadine Hachach-Haram ◽

Muholan Kanapathy ◽

Toby Richards ◽

Afshin Mosahebi

Keyword(s):

Acute Wound ◽

Epidermal Graft

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