scholarly journals Use of Surgical Sponge with Running Sutures for Securing Full-Thickness Skin Grafts

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Stamatis Sapountzis ◽  
Achilleas Chantes ◽  
Ji Hoon Kim
Keyword(s):  
Survival Rate ◽  
Skin Graft ◽  
High Survival ◽  
Skin Defect ◽  
Skin Grafts ◽  
Full Thickness ◽  
High Survival Rate ◽  
Surgical Sponge ◽  
Reliable Technique ◽  
Thickness Skin

One of the most common methods of skin defect repairing is the use of a skin graft. It is simple and reliable technique, although sometimes it is not totally successful due to hematoma and seroma formation between the skin graft and the recipient bed. Here in, we present a method to secure the skin grafts using a surgical sponge with two running sutures. This technique ensures high survival rate of the skin grafts, and in addition it is easy to be performed by the surgeon only.

Comparison of a new hydro-surgical technique to traditional methods for the preparation of full-thickness skin grafts from canine cadaveric skin and report of a single clinical case

2012 ◽  
Vol 25 (01) ◽  
pp. 42-48 ◽  
Author(s):  
S. C. Ralphs ◽  
G Coronado ◽  
D. C. Sweet ◽  
J. Ward ◽  
C. P. Bloch ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Skin Graft ◽  
Clinical Case ◽  
Subcutaneous Tissue ◽  
Skin Grafts ◽  
Full Thickness ◽  
Preparation Methods ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Significant Difference

SummaryObjective: To compare the hydro-surgical technique to traditional techniques for removal of subcutaneous tissue in the preparation of full-thickness skin grafts.Study design: Ex vivo experimental study and a single clinical case report.Sample population: Four canine cadavers and a single clinical case.Methods: Four sections of skin were harvested from the lateral flank of recently euthanatized dogs. Traditional preparation methods used included both a blade or scissors technique, each of which were compared to the hydro-surgical technique individually. Preparation methods were compared based on length of time for removal of the subcutaneous tissue from the graft, histologic grading, and measurable thickness as compared to an untreated sample.Results: The hydro-surgical technique had the shortest skin graft preparation time as compared to traditional techniques (p = 0.002). There was no significant difference in the histological grading or measurable subcutaneous thickness between skin specimens.Clinical significance: The hydro-surgical technique provides a rapid, effective debridement of subcutaneous tissue in the preparation of full-thickness skin grafts. There were not any significant changes in histological grade and subcutaneous tissue remaining among all treatment types. Additionally the hydro-surgical technique was successfully used to prepare a full-thickness meshed free skin graft in the reconstruction of a traumatic medial tarsal wound in a dog.Presented at the ACVS symposium during the resident seminar, Seattle, Washington,USA on October 22, 2010.

scholarly journals Eyelid Reconstruction with Full Thickness Skin Grafts After Carcinoma Excision

Folia Medica ◽  
2016 ◽  
Vol 58 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Zornitsa I. Zlatarova ◽  
Binna N. Nenkova ◽  
Ekaterina B. Softova
Keyword(s):  
Skin Graft ◽  
Skin Grafts ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Eyelid Reconstruction ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Additional Surgery ◽  
Aesthetic Results ◽  
The Aesthetic

AbstractBackground: Various techniques have been proposed for reconstruction of the eyelid anterior lamella after carcinoma excision: among these are the transposition of skin flaps, and full-thickness skin grafts or combination of these two.Aim: To present our experience in eyelid reconstruction with full-thickness skin grafts and to assess the aesthetic and functional outcomes.Patients and methods: The present retrospective study included 39 patients (20 males, 19 females, mean age 71 yrs) with surgically excised eyelid carcinoma, followed by reconstruction using full-thickness skin grafts. The patients were treated between 2005 and 2014. Parameters recorded were patient demographics, histological classification of malignancy, tumor localization and size, postoperative defect size. In cases of large full-thickness lower lid defect Hughes tarsoconjunctival flap was used for reconstruction of posterior lamella. Full-thickness skin grafts donor sites included upper eyelid, preauricular area and inner brachial area. We appraised the grafts viability one week after surgery and the aesthetic results - 6 months after surgery by the graft colour and lid position.Results: In 95% of the cases the skin grafts were viable. The full-thickness skin graft (FTSG) failed in two patients because of subcutaneous haematoma. There were a few early postoperative complications including graft hypertrophy, graft contraction, and partial graft failure, which were managed without additional surgery. All 39 patients had normal postoperative lid function. All 39 had either good (14) or excellent (25) cosmetic results.Conclusions: Our findings suggest that full-thickness skin graft is a good choice in periocular reconstructive surgery after carcinoma excision. The surgical technique is easy to perform producing proper functional and aesthetic results.

scholarly journals Use of Preputial Skin as Cutaneous Graft after Nevus Excision

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
A. D'Alessio ◽  
E. Piro ◽  
M. Brugnoni ◽  
L. Abati
Keyword(s):  
Skin Graft ◽  
Surgical Excision ◽  
Skin Defect ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Full Thickness Skin ◽  
Thickness Skin

We report a four-year-old boy with a nevus covering all the plantar side of his second finger on the left foot. He was also affected by congenital phimosis. Surgical excision of the nevus was indicated, but the skin defect would have been too large to be directly closed. The foreskin was taken as a full-thickness skin graft to cover the cutaneous defect of the finger. The graft intake was favourable and provided a functional repair with good aesthetic characteristic.

scholarly journals The Effects of Stromal Vascular Fraction（SVF）Cells and Adipose-Derived Stem Cells (ADSCs) in Full-Thickness Skin Grafts

2021 ◽  
Author(s):  
Zhou Feng ◽  
Fei Miaomiao ◽  
Gong Lunli ◽  
Wang Guobao ◽  
Zhang Jun ◽  
...  
Keyword(s):  
Stem Cells ◽  
Survival Rate ◽  
Stromal Vascular Fraction ◽  
Adipose Derived Stem Cells ◽  
Skin Grafts ◽  
Full Thickness ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Masson Staining ◽  
Better Than

Abstract Background: To investigate the role and difference of autologous stromal vascular fraction（SVF）cells and allogeneic adipose-derived stem cells(ADSCs) in full-thickness skin graft.Methods: SVF cells and ADSCs were prepared from the inguinal fat pad of the rats, and full-thickness skin on the back of the rats were transplanted in situ. then, SVF, ADSCs and PBS were injected under the graft. Gross survival, H-E staining, Masson staining, CD31 and VEGF immunofluorescence were observed on 3d, 7d and 14d respectively.Results: the survival rate of SVF group was the best, followed by ADSCs group (p<0.05). the H-E and Masson staining structures of the SVF group were better than those of the other two groups under the microscope. CD31 and VEGF expression in SVF group at 7 days and 14 days after surgery was more obvious than that in ADSCs group and PBS group.Conclusion: Subcutaneous injection of autologous SVF or allogeneic ADSCs cells can improve the survival rate of full-thickness skin grafts. In addition, the effect of autologous SVF cells is better than that of allogeneic ADSCs.

Dermatologic Surgical Pearls Part 4: Tips for Full-Thickness Skin Grafts

2015 ◽  
Vol 19 (3) ◽  
pp. 294-296
Author(s):  
Melissa Nantel-Battista ◽  
Christian Murray
Keyword(s):  
Skin Graft ◽  
Dermatologic Surgery ◽  
Skin Grafts ◽  
Full Thickness ◽  
Office Setting ◽  
Full Thickness Skin ◽  
Thickness Skin

Dermatologic surgery procedures can sometimes be time consuming in an office setting. We present a series of tips for dermatologists and dermatologic surgeons that will enhance the efficiency of skin graft procedures. Les interventions en chirurgie dermatologique peuvent parfois prendre beaucoup de temps en cabinet. Seront présentés aux dermatologues et aux chirurgiens dermatologues une serie de conseils qui auront pour effet d'accroître l'efficacité des operations touchant les greffes de peau.

Use of Foam Bolsters for Securing Facial Skin Grafts

1998 ◽  
Vol 77 (6) ◽  
pp. 490-492 ◽  
Author(s):  
Richard K. Caldwell ◽  
William C. Giles ◽  
Paul T. Davis
Keyword(s):  
Complication Rate ◽  
Skin Grafts ◽  
Full Thickness ◽  
Facial Skin ◽  
Reliable Technique ◽  
Advantages And Disadvantages ◽  
Full Thickness Skin ◽  
Skin Cancers ◽  
Thickness Skin

Many methods of securing skin grafts to their recipient beds have been described. A review of the senior author's experience with facial skin cancers over a two-year period revealed that reconstruction with full-thickness skin grafts was employed in 60 of more than 500 cases. This series of 60 cases was reviewed. Use of foam as a bolster has proven to be a simple, time-conserving and reliable technique that produces consistently excellent results with a low complication rate. The technique is reviewed, along with its advantages and disadvantages.

scholarly journals Reconstruction of the penile skin loss due to 'radical' circumcision with a full thickness skin graft

2010 ◽  
Vol 67 (7) ◽  
pp. 593-595 ◽  
Author(s):  
Ivan Ignjatovic ◽  
Predrag Kovacevic ◽  
Nina Medojevic ◽  
Milan Potic ◽  
Vladimir Milic
Keyword(s):  
Skin Graft ◽  
Skin Defect ◽  
Full Thickness ◽  
Penile Skin ◽  
Full Thickness Skin Graft ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Skin Loss ◽  
Good Cosmetic ◽  
One Year

Background. Excessive resection of penile skin is a rare but important complication of circumcision. Penis 'trapping' under the skin and consequent sexual dysfunction occur as a result. Case report. Excessive circumcision with complete resection of the penile skin is shown. Penis, trapped under the skin, was deliberated and skin defect was substituted with the full thickness skin graft. One year after the surgery penis has a good cosmetic appearance, adequate size and sexual function. Conclusion. Full thickness skin graft is a good option for augmentation of the penile skin loss in cases with intact hypodermal tissue and extensive skin loss, for the reconstruction in a single act.

scholarly journals One-step approach for full-thickness skin defect reconstruction in rats using minced split-thickness skin grafts with Pelnac overlay

2019 ◽  
Vol 7 ◽  
Author(s):  
Tong Liu ◽  
Chao Qiu ◽  
Chi Ben ◽  
Haihang Li ◽  
Shihui Zhu
Keyword(s):  
Wound Healing ◽  
Healing Rate ◽  
Skin Grafting ◽  
Skin Defect ◽  
Skin Grafts ◽  
Full Thickness ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting

Abstract Background Split-thickness skin grafting is the current gold standard for the treatment of traumatic skin loss. However, for patients with extensive burns, split-thickness skin grafting is limited by donor skin availability. Grafting split-thickness skin minced into micrografts increases the expansion ratio but may reduce wound repair quality. Dermal substitutes such as Pelnac can enhance the healing of full-thickness skin wounds, but their application currently requires two surgeries. The present study investigated whether it is possible to repair full-thickness skin defects and improve wound healing quality in a single surgery using Pelnac as an overlay of minced split-thickness skin grafts in a rat model. Methods A full-thickness skin defect model was established using male Sprague-Dawley rats of 10 weeks old. The animals were randomly divided into control and experimental groups in which Vaseline gauze and Pelnac, respectively, were overlaid on minced split-thickness skin grafts to repair the defects. Wound healing rate and quality were compared between the two groups. For better illustration of the quality of wound healing, some results were compared with those obtained for normal skin of rats. Results We found that using Pelnac as an overlay for minced split-thickness skin grafts accelerated wound closure and stimulated cell proliferation and tissue angiogenesis. In addition, this approach enhanced collagen synthesis and increased the formation of basement membrane and dermis as well as the expression of growth factors related to wound healing while reducing scar formation. Conclusions Using minced split-thickness skin grafts overlaid with Pelnac enables the reconstruction of full-thickness skin defects in a single step and can increase the healing rate while improving the quality of wound healing.

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