scholarly journals Retrospective review of a tertiary adult burn centre’s experience with modified Meek grafting

2016 ◽  
Vol 4 ◽  
pp. 1-7 ◽  
Author(s):  
Namal Munasinghe ◽  
Jason Wasiak ◽  
Andrew Ives ◽  
Heather Cleland ◽  
Cheng Hean Lo
Keyword(s):  
Total Body Surface Area ◽  
Skin Grafting ◽  
Patient Records ◽  
Tertiary Referral ◽  
Patient Demographics ◽  
Grafting Technique ◽  
Split Skin Grafting ◽  
Total Body ◽  
Split Skin ◽  
Rate Requirement

Abstract Background Autologous split skin grafting is the gold standard in treating patients with massive burns. However, the limited availability of donor sites remains a problem. The aim of this study is to present our experience with the modified Meek technique of grafting, outcomes achieved and recommendations for optimized outcomes. Methods We retrospectively reviewed patient records from our tertiary referral burn centre and the Bi-National Burns Registry to identify all patients who had modified Meek grafting between 2010 and 2013. Patient records were reviewed individually and information regarding patient demographics, mechanism of injury and surgical management was recorded. Outcome measures including graft take rate, requirement for further surgery and complications were also recorded. Results Eleven patients had modified Meek grafting procedures. The average age of patients was 46 years old (range 23 – 64). The average total body surface area (TBSA) burnt was 56.75 % (range 20–80 %). On average, 87 % of the grafted areas healed well and did not require regrafting. In the regrafted areas, infection was the leading cause of graft failure. Conclusions Modified Meek grafting is a useful method of skin expansion. Similar to any other grafting technique, infection needs to be sought and treated promptly. It is recommended for larger burns where donor sites are not adequate or where it is desirable to limit their extent.

scholarly journals The scalp as a donor site for skin grafting in burns: retrospective study on complications

2016 ◽  
Vol 4 ◽  
pp. 1-6 ◽  
Author(s):  
Dorota Teresa Roodbergen ◽  
Adrianus Fredericus Petrus Maria Vloemans ◽  
Zjir Mezjda Rashaan ◽  
Jacob Cornelis Broertjes ◽  
Roelf Simon Breederveld
Keyword(s):  
Retrospective Study ◽  
Surface Area ◽  
Complication Rate ◽  
Donor Site ◽  
Total Body Surface Area ◽  
Skin Grafting ◽  
Healing Time ◽  
Late Complications ◽  
Split Skin Grafting ◽  
Total Body

Abstract Background Split skin grafting (SSG) is the cornerstone in the treatment of deep burns and large skin defects. Frequently used donor sites are the thigh, abdomen and buttocks. The scalp is less common while considered as a reliable donor site. Advantages are a large surface area, rapid wound healing, cosmetically favourable results and multiple harvests from the same donor site. Complications include scab formation, chronic folliculitis and alopecia but have been recorded sporadically in previous studies. This article evaluates the complication rate of the scalp donor site in the treatment of deep burns in the Beverwijk Burn Centre. Methods A retrospective study was performed of all patients who received a skin graft from the scalp at the Beverwijk Burn Centre between January 2004 and December 2012. Data were collected from medical files of included patients, including gender, age, type of burn (scald, flame, other) and total body surface area (TBSA) burned at the time of first surgery. Postoperative variables were healing time of the donor site and incidence of complications. During follow-up, the incidence of late complications was reviewed. Results A total number of 105 grafts were analysed in 93 patients: 58 males (62 %) and 35 females (38 %), with a median age of 2 years and 3 months old. Of the patients, 30 (32 %) had flame burns and 57 (61 %) had scald burns. Eighty-seven percent of patients had a TBSA burned of 5 % or less. All donor sites healed within 14 days. No alopecia or scar hypertrophy developed at the donor sites. Two patients (2.2 %) developed folliculitis; one patient (1.1 %) showed scab formation. Conclusions The scalp as a donor site in our Burn Centre shows a comparable short-term complication rate to the previous literature, with quick healing and no long-term complications. Therefore, we propose the consideration of the scalp as a primary donor site, especially in young children, where the scalp offers a larger donor site area than the buttocks or thighs.

MANAGEMENT OF POST BURN CONTRACTURE OF NECK IN A TERTIARY BURN CARE CENTRE

2021 ◽  
pp. 33-35
Author(s):  
Nangineedi Nagaprasad ◽  
Karthik G B
Keyword(s):  
Surgical Planning ◽  
Skin Grafting ◽  
Burn Care ◽  
Split Skin Grafting ◽  
Contracture Release ◽  
Common Problems ◽  
A Prospective Study ◽  
Split Skin ◽  
Burn Contractures

Background: Post burn contracture is one of the most common problems in our country and usually seen in lower socio-economic people. Burn contractures of the neck can produce a signicant impact on quality of life by reducing a patient's ability to perform activities of daily living Methods: A prospective study was conducted with a sample size of 30 patients with post burn neck contracture conducted for a duration of 24 months. After meticulous surgical planning, patients underwent contracture release and split skin grafting/z-plasty followed by rigorous splintage and physiotherapy. Majority of the patients were in the age group of 11-30 years (63%).70% of the Results: patients sustained burns in the range of 21-40% and 80% were due to ame burns.46.66% (14) of patients had severe contracture while 13.33% (4) had extensive mento-sternal adhesions. 90% of the patients underwent release + SSG while 10% underwent z-plasty. Postoperatively cervico-mental angle of 100-120 degrees was achieved Skin grafting is a simple, reliable and safe operation however postoperative splinting is n Conclusion: ecessary. The use of skin grafts continues to deliver excellent results with adequate restoration of cervico-mental angle.

Split Skin Grafting

2016 ◽  
pp. 107-128
Author(s):  
Aziz Nather ◽  
Ting Fang Tan
Keyword(s):  
Skin Grafting ◽  
Split Skin Grafting ◽  
Split Skin

scholarly journals Patient-reported scar quality of donor-sites following split-skin grafting in burn patients: Long-term results of a prospective cohort study

Burns ◽  
2020 ◽  
Author(s):  
Catherine M. Legemate ◽  
Pauline J. Ooms ◽  
Nicole Trommel ◽  
Esther Middelkoop ◽  
Margriet E. van Baar ◽  
...  
Keyword(s):  
Cohort Study ◽  
Skin Grafting ◽  
Long Term Results ◽  
Burn Patients ◽  
Split Skin Grafting ◽  
Patient Reported ◽  
Scar Quality ◽  
Split Skin

Split Skin Grafting on Severely Damaged Skin

1994 ◽  
Vol 20 (12) ◽  
pp. 827-829 ◽  
Author(s):  
IRSHAD ZAKI ◽  
LAWRENCE SCERRI ◽  
LESLIE MILLARD
Keyword(s):  
Skin Grafting ◽  
Split Skin Grafting ◽  
Split Skin

scholarly journals A paradigm shift in practice—the benefits of early active wound temporisation rather than early skin grafting after burn eschar excision

2020 ◽  
Vol 48 (2) ◽  
pp. 93-100
Author(s):  
John E Greenwood
Keyword(s):  
Skin Graft ◽  
Paradigm Shift ◽  
Burn Injury ◽  
Donor Site ◽  
Total Body Surface Area ◽  
Skin Grafting ◽  
Graft Harvest ◽  
Major Burn ◽  
Early Closure ◽  
Total Body

After major burn injury, once survival is achieved by the immediate excision of all deep burn eschar, we are faced with a patient who is often physiologically well but with very extensive wounds. While very early grafting yields excellent results after the excision of small burns, it is not possible to achieve the same results once the wound size exceeds the available donor site. In patients where 50%–100% of the total body surface area is wound, we rely on serial skin graft harvest, from finite donor site resources, and the massive expansion of those harvested grafts to effect healing. The result is frequently disabling and dysaesthetic. Temporisation of the wounds both passively, with cadaver allograft, and actively, with dermal scaffolds, has been successfully employed to ameliorate some of the problems caused by our inability to definitively close wounds early. Recent advances in technology have demonstrated that superior functional and cosmetic outcomes can be achieved in actively temporised areas even when compared with definitive early closure with skin graft. This has several beneficial implications for both patient and surgeon, affecting the timing of definitive wound closure and creating a paradigm shift in the care of the burned patient.

Development of a bullous pemphigoid after split-skin grafting

2001 ◽  
Vol 54 (5) ◽  
pp. 447-449 ◽  
Author(s):  
Harvinder S. Ghura ◽  
Graham A. Johnston ◽  
Alex Milligan
Keyword(s):  
Bullous Pemphigoid ◽  
Skin Grafting ◽  
Split Skin Grafting ◽  
Split Skin
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