2015
DOI: 10.1097/sap.0000000000000143
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An Additional Option for Split-Thickness Skin Graft Donors

Abstract: Free flap reconstruction is the best choice for soft-tissue defect. However, there are often accompanying problems such as partial flap loss, donor-site skin problems, and loss of previous skin grafts surrounding the flap site. This is especially true when dealing with multiple trauma, complex defects, and large skin flaps. Because of the simplicity of the procedure involved, split-thickness skin grafts are usually used for reconstructing skin and soft-tissue defects. These are also a good choice when there is… Show more

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Cited by 7 publications
(3 citation statements)
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“…In our series, we harvested the STSGs from a multitude of fasciocutaneous flaps, including anterolateral and anteromedial thigh flap, lateral arm flap, groin flap, and parascapular flap, demonstrating that this is a feasible option in these fasciocutaneous flaps and can be safely performed early after the index surgery to cover remaining defects that cannot and do not need to be covered by the free flap. We have proceeded on harvesting the STSG as early as 11 days after free tissue transfers without issues and, thus, markedly earlier than Kim et al 7 (Fig. 1 ).…”
Section: Discussionmentioning
confidence: 99%
“…In our series, we harvested the STSGs from a multitude of fasciocutaneous flaps, including anterolateral and anteromedial thigh flap, lateral arm flap, groin flap, and parascapular flap, demonstrating that this is a feasible option in these fasciocutaneous flaps and can be safely performed early after the index surgery to cover remaining defects that cannot and do not need to be covered by the free flap. We have proceeded on harvesting the STSG as early as 11 days after free tissue transfers without issues and, thus, markedly earlier than Kim et al 7 (Fig. 1 ).…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, an advantage of skin grafts is a relatively simple operation that involves free tissue transfer of only skin to the wound bed without blood vessel transfer. However, for this reason, a skin graft cannot be considered if the condition of the wound bed is poor because the nutrients and oxygen are delivered via diffusion, such as plasma imbibition, until revascularization occurs 7 8 9 . In the case described herein, if a skin graft had been laid over the tendons, which had a poor blood supply, this procedure would have been very likely to fail.…”
Section: Discussionmentioning
confidence: 99%
“…or Kaltostat (Convatec, Skillman, N.J.)], 38 innovative approaches (cultured epithelial grafts, 2 noncontact low-frequency ultrasound 9 ), or even the peculiar (aluminum foil, banana leaves, a free flap). 1012 Donor-site location may be just as important a factor, as it is well known that the scalp has an accelerated healing time due to the number of epidermal appendages present that promote reepithelialization. 13 On the contrary, systemic comorbidities should be expected to negatively impact any donor-site healing.…”
Section: Introductionmentioning
confidence: 99%