TOTAL PENILE DEGLOVING INJURY RESURFACED WITH A SPLIT SKIN GRAFT – A CASE REPORT

Degloving injuries of the penis are a rare occurrence often requiring reconstruction. They are usually caused by industrial or agricultural machinery and tend to involve both the penile shaft and the scrotal skin with young adults being the usual victims. A penile degloving usually begins just proximal of the coronal line and progress down to the base of the shaft. Deep erectile tissue and the spermatic cord are usually undamaged and the endogenous skin of glans usually survives. The management requires thorough debridement and resurfacing the raw area by either using the degloved skin as a ap or a free skin graft, or by using a split skin or a full thickness skin graft. Here, we report a case of a total penile skin degloving managed with a split skin graft with satisfactory cosmetic result.

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Successful placement of an epidural catheter through a split skin graft after degloving injury of the lower back

International Journal of Obstetric Anesthesia ◽

10.1016/j.ijoa.2019.03.002 ◽

2019 ◽

Vol 40 ◽

pp. 149-151

Author(s):

Y. Metodiev ◽

S. Anderson ◽

K. Kondov

Keyword(s):

Epidural Catheter ◽

Skin Graft ◽

Split Skin Graft ◽

Lower Back ◽

Degloving Injury ◽

Split Skin

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Management of Degloving Injuries of the Foot with a Defatted Full-Thickness Skin Graft

The Journal of Bone and Joint Surgery (American) ◽

10.2106/jbjs.l.01085 ◽

2013 ◽

Vol 95 (18) ◽

pp. 1675-1681 ◽

Cited By ~ 10

Author(s):

Hede Yan ◽

Shen Liu ◽

Weiyang Gao ◽

Zhijie Li ◽

Xinglong Chen ◽

...

Keyword(s):

Skin Graft ◽

Full Thickness ◽

Full Thickness Skin Graft ◽

Full Thickness Skin ◽

Thickness Skin ◽

Degloving Injuries

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Use of a hypogastric flap and split-thickness skin grafting for a degloving injury of the penis and scrotum: A different approach

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699358 ◽

2009 ◽

Vol 42 (02) ◽

pp. 258-260

Author(s):

S. Sengathir Selvan ◽

Ganesh S. Alagu ◽

R. Gunasekaran

Keyword(s):

Skin Grafting ◽

Scrotal Skin ◽

Split Skin Graft ◽

Aesthetic Result ◽

Degloving Injury ◽

Thickness Skin ◽

Split Thickness Skin Grafting ◽

Newly Married ◽

Split Skin ◽

Agricultural Machines

ABSTRACTPenile and scrotal skin avulsions are not common events and are caused usually by accidents with industrial machines or agricultural machines. We report a case of a 27-year-old newly married thin-built patient with avulsion and traumatic degloving of the penile and scrotal skin, with exposure of the corpora cavernosa and copus spongiosum of penis and testes as his loose clothes got entangled in a paddy harvesting machine accidently. Reconstruction was performed using a hypogastric flap and split skin graft, achieving a satisfactory aesthetic result and sexual functions.

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GLABROUS & NON-GLABROUS SPLIT SKIN GRAFT IN THE RECONSTRUCTION OF FLEXION CONTRACTURE OF FINGERS – AN OBSERVATIONALAND COMPARATIVE STUDY.

10.36106/ijsr/6521990 ◽

2020 ◽

pp. 1-3

Author(s):

Abhishek Gaur ◽

Nidhi Gaur

Keyword(s):

Skin Graft ◽

Donor Site ◽

Donor Site Morbidity ◽

Flexion Contracture ◽

Split Thickness Skin Graft ◽

Skin Grafts ◽

Flexion Deformity ◽

Split Skin Graft ◽

Thickness Skin ◽

Split Skin

Background: Flexion contractures of the fingers cause functional and aesthetic problems to a burn patient. Various methods of reconstruction have been described in the literature. These include release and split thickness grafting, release and full thickness grafting. Among those incision or excision of the contracture band and split skin grafting were the simplest and commonest techniques. In this study, we aim to compare functional & aesthetic outcomes of glabrous & non glabrous split skin graft in flexion contracture of fingers. Methods: A total of 60 fingers of patients of post burn finger contractures were undertaken for the study. Patients were evaluated preoperatively on duration of contracture, extent of involvement, type of scar, range of movements using goniometer and degree of fixed flexion deformity. Finger contractures were released and resurfacing done with glabrous & non-glabrous split thickness skin grafts. Postoperative evaluation was done by measuring range of movements of Proximal Interphalangeal (PIP) and Distal interphalangeal (DIP) joints, flexion deformity, donor site morbidity, number of visits to the hospital, colour match of graft to adjacent skin. Results: Functional outcome in terms of active range of motion combined at DIP joint, PIP joint & metacarpophalangeal joint were similar in both glabrous split thickness skin graft & non glabrous split thickness skin graft at the end of six months. As compared with non-glabrous split thickness skin grafts, glabrous split thickness grafts provided superior colour & texture match to surround tissue. There was no significant donor site morbidity in plantar in-step area & patients were able to walk from third to fourth post operative day. There was minimal hypertrophy of plantar donor site, owing to persistent pressure in standing posture. Conclusion: Patient’s satisfaction was greater in glabrous split skin graft.

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Reconstruction of scalp and forehead defect with local transposition split skin flap and remnant full-thickness skin graft

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2013.04.056 ◽

2013 ◽

Vol 66 (10) ◽

pp. 1436-1438 ◽

Cited By ~ 1

Author(s):

Min-Cheol Kim ◽

Young-Il Ko ◽

Hyung-Sup Shim

Keyword(s):

Skin Graft ◽

Skin Flap ◽

Full Thickness ◽

Full Thickness Skin Graft ◽

Full Thickness Skin ◽

Thickness Skin ◽

Split Skin

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Regrafting of the Split-Thickness Skin Graft Donor-Site: Is It Beneficial?

Journal of Burn Care & Research ◽

10.1093/jbcr/irz166 ◽

2019 ◽

Author(s):

Catherine M Legemate ◽

Ymke Lucas ◽

Irma M M H Oen ◽

Cornelis H Van Der Vlies

Keyword(s):

Skin Graft ◽

Donor Site ◽

Skin Grafting ◽

Split Thickness Skin Graft ◽

Split Skin Graft ◽

Thickness Skin ◽

Split Skin Grafting ◽

Split Thickness Skin Grafting ◽

Graft Donor ◽

Split Skin

Abstract Split-thickness skin grafting remains a fundamental treatment for patients with deep burns and other traumatic injuries. Unfortunately, the donor site wound that remains after split skin graft (SSG) harvesting may also cause problems for the patient; they can lead to discomfort and scars with a poor cosmetic outcome. Regrafting of the donor site is one of the methods described to improve donor site healing and scarring. In this report, we describe a case of a 26-year-old woman with a self-inflicted chemical burn (0.5% TBSA) who underwent split skin grafting. During surgery, only part of the donor site was regrafted with split skin graft remnants. This part healed faster and had a better scar quality at 3 months postsurgery. Nevertheless, the appearance and patients’ opinion on the regrafted part deteriorated after 12 months. With this case report, we aim to create awareness of the long-term consequences of regrafting, which may differ from short-time results. Patients expected to have poor reepithelialization potential may benefit from regrafting of the SSG on the donor site. But in healthy young individuals, timewise there would be no benefit since it can lead to an aesthetically displeasing result.

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Surgical Outcome in Tumescent and Non-Tumescent Method of Harvesting Split Skin Graft - An Observational Study at KR Hospital, Mysuru

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/433 ◽

2021 ◽

Vol 8 (26) ◽

pp. 2322-2327

Author(s):

Anandaravi B.N. ◽

Manjunath R.D. ◽

Puneeth D.N

Keyword(s):

Observational Study ◽

Skin Graft ◽

Local Anaesthesia ◽

Split Skin Graft ◽

Tumescent Technique ◽

Thickness Skin ◽

Split Thickness Skin Grafting ◽

Group A ◽

Group B ◽

Split Skin

BACKGROUND The study was started with the aim to determine take up rate in tumescent technique compared to non-tumescent technique for harvesting split skin graft. Tumescent technique has been practiced for over forty years especially in liposuction. Tumescent anaesthesia is a combination of crystalloid, lignocaine, adrenaline and sodium bicarbonate. Using tumescent local anaesthesia for harvesting a split thickness skin graft is not in much practise. This study was designed to provide strong evidence of this technique. METHODS This was an observational study. Two treatment groups of patients, tumescent (group A, N = 21) and non-tumescent technique (group B, N =21), who fulfilled the inclusion criteria were randomly assigned. Tumescent technique involved administration of Klein’s formula. No prior administration of agent was performed in non-tumescent technique. The recipient site was opened in both groups on the fifth day after surgery and take rate assessed. RESULTS The difference in take up rate between the two groups was found to be statistically significant. Compared to the patients in group B, patients who underwent tumescent technique (group A) had higher take up rate (> 12 %, P = 0.005). We did not find any statistically significant difference in donor site percentage healing between the tumescent and non-tumescent groups, P = 0.379. CONCLUSIONS Tumescent technique gives better take up results and is more effective than nontumescent technique in harvesting split skin graft. The subdermal injection creates a smooth, dense surface which assists donor harvesting. This can be implemented preoperatively in split-thickness skin grafting. KEYWORDS Split Skin Graft, Take Up Rate, Harvesting, Tumescent, Non-Tumescent, Local Anaesthesia

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Early wound repair versus later scar repair in children with treadmill hand friction burns

Journal of Burn Care & Research ◽

10.1093/jbcr/irab083 ◽

2021 ◽

Author(s):

Rong Zhou ◽

Lin Qiu ◽

Jun Xiao ◽

Xiaobo Mao ◽

Xingang Yuan

Keyword(s):

Skin Graft ◽

Wound Repair ◽

Full Thickness ◽

Full Thickness Skin Graft ◽

Vacuum Sealing ◽

Full Thickness Skin ◽

Thickness Skin ◽

Vacuum Sealing Drainage ◽

Repair Group ◽

Hand Friction

Abstract The incidence of pediatric treadmill hand friction burns has been increasing every year. The injuries are deeper than thermal hand burns, the optimal treatment remains unclear. This was a retrospective study of children who received surgery for treadmill hand friction burns from January 1, 2015, to December 31, 2019, in a single burn center. A total of 22 children were surveyed. The patients were naturally divided into two groups: the wound repair group (13 patients), which was admitted early to the hospital after injury and received debridement and vacuum sealing drainage initially, and a full-thickness skin graft later; and the scar repair group (9 patients), in which a scar contracture developed as a result of wound healing and received scar release and skin grafting later. The Modified Michigan Hand Questionnaire score in the wound repair group was 116.31 ± 10.55, and the corresponding score in the scar repair group was 117.56 ± 8.85 (P>0.05), no statistically significant difference. The Vancouver Scar Scale score in the wound repair group was 4.15 ± 1.21, and the corresponding score in the scar repair group was 7.22 ± 1.09 (P<0.05). Parents were satisfied with the postoperative appearance and function of the hand. None in the two groups required secondary surgery. If the burns are deep second degree, third degree, or infected, early debridement, vacuum sealing drainage initially, and a full-thickness skin graft can obviously relieve pediatric pain, shorten the course of the disease, and restore the function of the hand as soon as possible.

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