scholarly journals Management of adult concealed penis using a meshed, split-thickness skin graft

2016 ◽  
Vol 10 (11-12) ◽  
pp. 407 ◽  
Author(s):  
Aaron Boonjindasup ◽  
Michael Pinsky ◽  
Carrie Stewart ◽  
Landon Trost ◽  
Abigail Chaffin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Skin Grafting ◽  
Split Thickness Skin Graft ◽  
Recent Experience ◽  
Viable Option ◽  
Cosmetic Results ◽  
Thickness Skin ◽  
Concealed Penis ◽  
Split Thickness Skin Grafting ◽  
Good Cosmetic

Introduction: Concealed penis (CP) is a rare problem faced by urologists and plastic surgeons. CP occurs secondary to trauma, obesity, or infection. Surgical treatment is individualized and based on patient and provider variables. We aim to review our recent experience using meshed split-thickness skin grafting (STSG) for CP management.Methods: A retrospective review was performed on patients who underwent STSG for CP at our institution. Records were reviewed for demographic, operative, and postoperative variables. Preoperative and postoperative photos were obtained to monitor cosmetic results.Results: Eleven patients underwent CP release with meshed STSG placement. All cases showed improved functional phallic length and good cosmetic results, regardless of etiology.Conclusions: STSG is a viable option for penile coverage for management of this difficult-to-treat CP population. This primary or salvage modality offers excellent cosmetic results and may be used following prior reconstructive attempts.

scholarly journals Outcome of Split Thickness Skin Grafting and Multiple Z-Plasties in Postburn Contractures of Groin and Perineum: A 15-Year Experience

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Wani Sajad ◽  
Raashid Hamid
Keyword(s):  
Surgical Treatment ◽  
Skin Grafting ◽  
Cosmetic Outcome ◽  
Primary Concern ◽  
Secondary Surgery ◽  
Cosmetic Results ◽  
Cosmetic Appearance ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting

Background. Groin and perineal burn contracture is a rare postburn sequel. Such postburn contractures causes distressing symptoms to the patients and in the management of these contractures, both functional and cosmetic appearance should be the primary concern. Aims. To study the outcome of surgical treatment (STSG and multiple Z-plasties) in postburn contractures of groin and perineum. Material and Methods. We conducted a study of 49 patients, with postburn groin and perineal contractures. Release of contracture with split thickness skin grafting (STSG) was done in 44 (89.79%) patients and release of contracture and closure by multiple Z-plasties was done in 5 (10.21%) patients. Results. Satisfactory functional and cosmetic outcome was seen in 44 (89.79%) patients. Minor secondary contractures of the graft were seen in 3 (6.81%) patients who were managed by physiotherapy and partial recurrence of the contracture in 4 (8.16%) patients required secondary surgery. Conclusion. We conclude that postburn contractures of the groin and perineum can be successfully treated with release of contracture followed by STSG with satisfactory functional and cosmetic results. Long term measures like regular physiotherapy, use of pressure garments, and messaging with emollient creams should not be neglected and should be instituted postoperatively to prevent secondary contractures of the graft and recurrence of the contracture.

scholarly journals Split thickness skin graft in active psoriasis in patient with clear cell variant squamous cell carcinoma

2019 ◽  
Vol 12 (9) ◽  
pp. e231295 ◽  
Author(s):  
Lisa Scupham ◽  
Atul Ingle
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Clear Cell ◽  
Skin Grafting ◽  
Split Thickness Skin Graft ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting ◽  
Cell Variant ◽  
Clear Cell Variant

The case report discusses split thickness skin grafting in a patient with active psoriasis. This also reports a case of a rare variant of squamous cell carcinoma.

scholarly journals Hyperpigmentation after surgery for a deep dermal burn of the dorsum of the hand: partial-thickness debridement followed by medium split-thickness skin grafting vs full-thickness debridement followed by thick split-thickness skin grafting

2016 ◽  
Vol 4 ◽  
pp. 1-11 ◽  
Author(s):  
Yoshitaka Kubota ◽  
Nobuyuki Mitsukawa ◽  
Kumiko Chuma ◽  
Shinsuke Akita ◽  
Yoshitaro Sasahara ◽  
...  
Keyword(s):  
Skin Graft ◽  
Skin Grafting ◽  
Japanese Patients ◽  
Interquartile Range ◽  
Split Thickness Skin Graft ◽  
Full Thickness ◽  
Color Spaces ◽  
Partial Thickness ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting

Abstract Background Early excision and skin grafting are commonly used to treat deep dermal burns (DDBs) of the dorsum of the hand. Partial-thickness debridement (PTD) is one of the most commonly used procedures for the excision of burned tissue of the dorsum of the hand. In contrast, full-thickness debridement (FTD) has also been reported. However, it is unclear whether PTD or FTD is better. Methods In this hospital-based retrospective study, we compared the outcomes of PTD followed by a medium split-thickness skin graft (STSG) with FTD followed by a thick STSG to treat a DDB of the dorsum of the hand in Japanese patients. To evaluate postoperative pigmentation of the skin graft, quantitative analyses were performed using the red, green, and blue (RGB) and the hue, saturation, and brightness (HSB) color spaces. We have organized the manuscript in a manner compliant with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement. Results Data from 11 patients were analyzed. Six hands (five patients) received grafts in the PTD group and eight hands (six patients) received grafts in the FTD group. Graft take was significantly better in the FTD group (median 98 %, interquartile range 95–99) than in the PTD group (median 90 %, interquartile range 85–90) (P < 0.01). Quantitative skin color analyses in both the RGB and HSB color spaces showed that postoperative grafted skin was significantly darker than the adjacent control area in the PTD group, but not in the FTD group. Conclusions There is a possibility that FTD followed by a thick STSG is an option that can reduce the risk of hyperpigmentation after surgery for DDB of the dorsum of the hand in Japanese patients. Further investigation is needed to clarify whether the FTD or the thick STSG or both are the factor for the control of hyperpigmentation.

1231 MANAGEMENT OF CONCEALED PENIS USING MESHED SPLIT-THICKNESS SKIN GRAFTING IN AN ADULT POPULATION

2013 ◽  
Vol 189 (4S) ◽  
Author(s):  
Aaron Boonjindasup ◽  
Michael Pinsky ◽  
William Smith ◽  
Landon Trost ◽  
David Jansen ◽  
...  
Keyword(s):  
Adult Population ◽  
Skin Grafting ◽  
Thickness Skin ◽  
Concealed Penis ◽  
Split Thickness Skin Grafting

scholarly journals Novel Surgical Treatment for Refractory Heel Ulcers in Werner’s Syndrome

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Keisuke Oe ◽  
Masahiko Miwa ◽  
Yoshitada Sakai ◽  
Masahiro Kurosaka
Keyword(s):  
Surgical Treatment ◽  
Skin Graft ◽  
Donor Site ◽  
Skin Grafting ◽  
Split Thickness Skin Graft ◽  
Leg Ulcers ◽  
Werner’S Syndrome ◽  
Werner's Syndrome ◽  
Thickness Skin ◽  
Chronic Leg Ulcers

Patients with Werner’s syndrome frequently develop chronic leg ulcers that heal poorly. We present a patient who suffered from this rare syndrome and developed typical heel ulcers. Treatment of the ulcer is challenging, as flap options are limited over the lower third of the leg and skin grafting is not easy as there is a lack of healthy granulations. We successfully treated the ulcer with osteomyelitis by drilling the bone and applying an ultrathin split thickness skin graft with the thigh skin as the donor site.

scholarly journals Necrotising fasciitis—A rare complication of split-thickness skin graft donor area

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Rahul Bamal ◽  
Rakesh Kain
Keyword(s):  
Rare Complication ◽  
Donor Site ◽  
Skin Grafting ◽  
Necrotising Fasciitis ◽  
Split Thickness Skin Graft ◽  
Successful Management ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting ◽  
Donor Area ◽  
Graft Donor

<p class="Default">Split-thickness skin grafting (STSG) is commonly used to cover raw areas of various aetiologies. Donor sites are known to get infected sometimes, but necrotising fasciitis is not often reported. We report here a case of donor-site necrotising fasciitis and its successful management. There is a need for surgeons to stay vigilant for this rare but probable complication of skin grafting.</p>

Split-thickness skin graft of a pedal oil burn in an adolescent female

1991 ◽  
Vol 81 (8) ◽  
pp. 435-439 ◽  
Author(s):  
ME Leen ◽  
M Feldman ◽  
S Schoenberger ◽  
KC Chae
Keyword(s):  
Burn Injury ◽  
Skin Grafting ◽  
Split Thickness Skin Graft ◽  
Age Group ◽  
Case Presentation ◽  
Granulation Process ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting ◽  
Active Patient ◽  
Excellent Coverage

Split-thickness skin grafting of the foot following a burn injury provides excellent coverage to promote early rehabilitation and to facilitate healing. When compared to a more slowly healing, cosmetically unacceptable secondary granulation process, grafting is especially important for the young, active patient for whom hospitalization and immobilization are difficult to maintain. Cosmetic results are also a great concern, especially in the female sector of this age group. The case presentation shows grafting as a successful means of treatment in consideration of these primary goals.

scholarly journals Surgical Management and Reconstruction of Hoffman’s Disease (Dissecting Cellulitis of the Scalp)

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Justin M. Hintze ◽  
Brittany E. Howard ◽  
Carrlene B. Donald ◽  
Richard E. Hayden
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
Medical Management ◽  
Skin Grafting ◽  
Sinus Tract ◽  
Complete Resection ◽  
Reconstruction Surgery ◽  
Disease Remission ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting

Dissecting cellulitis of the scalp, or Hoffman’s disease, is a rare dermatologic condition characterized by recurrent pustules and sinus tract formation leading to scarring and alopecia. Medical management includes the use of corticosteroids, antibiotics, isotretinoin, and adalimumab. In cases where the disease is severe, refractory, and intractable, surgery is an option. We report two cases of Hoffman’s disease, where medical management failed to achieve remission. Surgical treatment was undertaken with complete resection of the affected scalp in staged procedures with subsequent split-thickness skin grafting for reconstruction. Surgery achieved both disease remission and excellent aesthetic outcomes in both patients.

Management of carotid artery exposure with pectoralis major myofascial flap transfer and split-thickness skin coverage

1995 ◽  
Vol 109 (12) ◽  
pp. 1176-1180 ◽  
Author(s):  
C. R. Leemans ◽  
A. J. M. Balm ◽  
R. T. Gregor ◽  
F. J. M. Hilgers
Keyword(s):  
Carotid Artery ◽  
Skin Flap ◽  
Skin Grafting ◽  
Neck Surgery ◽  
Pectoralis Major ◽  
Split Thickness Skin Graft ◽  
Flap Transfer ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting ◽  
Skin Coverage

AbstractThe risk for post-operative exposure of the carotid artery due to skin flap necrosis after major head and neck surgery is increased after previous radiation and in severely malnourished patients. Eight patients are described who presented with an (imminent) carotid exposure one to eight weeks after surgery. Pectoralis major myofascial flap transfer with split thickness skin graft coverage was used for protection of the carotid artery. All cases were managed successfully and healed primarily in two to four weeks with acceptable cosmesis. We advocate immediate treatment in the event of an exposed carotid (or imminent exposure) by a pectoralis major myofascial flap with split-thickness skin grafting.

scholarly journals Vacuum-assisted closure dressing in split-thickness skin grafting

2019 ◽  
Vol 10 (3) ◽  
pp. 1735-1740
Author(s):  
Ali A Ali ◽  
Yasir N Qassim ◽  
Ali N Areef
Keyword(s):  
Skin Graft ◽  
Chronic Wounds ◽  
Skin Grafting ◽  
Split Thickness Skin Graft ◽  
Vacuum Assisted Closure ◽  
Wound Site ◽  
Graft Take ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting

Vacuum-assisted closure (VAC) has been applied to a variety of acute and chronic wounds that are difficult to manage, and is associated with improved wound healing outcomes. It involves the application of sub-atmospheric pressure in a controlled way to secure a split-thickness skin graft on the wound that has been sealed with an occlusive dressing.A study was conducted on the patients with a variety of indications for skin grafting, admitted to Azadi Teaching Hospital between March 2010 and August 2017. After the application of split-thickness skin graft, a closed, controlled suction was applied on the wound. The graft was then continuously observed, and the dressing was changed as needed.A total of 39 split-thickness skin grafting procedures were performed on 37 patients (20 male, 17 female), the age of the patients ranging between 7 and 68 years. The average grafted area was 12±70 cm2, and the percent graft take ranged from 90 - 100%.Vacuum-assisted closure opposes the graft firmly on the wound bed, sucks out the seroma and/or hematoma, prevents shearing of the graft and aids in immobilization of the grafted part; thus improving the quantity and quality of the graft take. This study also established that VAC was particularly useful when the wound site is difficult to access, the wound is highly contoured and the conditions are less-than-ideal for complete graft take.

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