The Technique and Current Status of Pinch Grafting

Wheeland, F.A.C.P. Ronald G.

doi:10.1111/j.1524-4725.1987.tb00564.x

Cited by 18 publications

(11 citation statements)

References 18 publications

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“…The skin is shaved using a freehand technique with a scalpel blade, a double‐edged razor blade, or a small sharp scissor. Alternatively, an intradermal injection of local anesthetic can raise a small wheal that is immediately suitable for shaving 62…”

Section: Split‐thickness Skin Graftsmentioning

confidence: 99%

“…The basting sutures secure the graft in place and eliminate potential spaces for hematomas and seromas to form and improve graft survival. Perimeter and basting sutures are usually not necessary for pinch grafts 62…”

Section: Split‐thickness Skin Graftsmentioning

confidence: 99%

“…Petrolatum gauze is the simplest occlusive dressing used for STSGs. The most commonly reported STSG dressing in the dermatologic surgery literature is OpSite 59–62. We prefer to use OpSite, because it appears to offer several significant advantages over other dressings.…”

Section: Split‐thickness Skin Graftsmentioning

confidence: 99%

See 2 more Smart Citations

Grafts in Dermatologic Surgery

Adams¹,

Ramsey²

2005

Dermatologic Surgery

167

119

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Section: Split‐thickness Skin Graftsmentioning

confidence: 99%

Section: Split‐thickness Skin Graftsmentioning

confidence: 99%

See 1 more Smart Citation

Grafts in Dermatologic Surgery

Adams¹,

Ramsey²

2005

Dermatologic Surgery

167

119

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“…The first method is often referred to as “pinch‐grafting.” The name “pinch grafting” is credited to Reverdin, who in 1869 described a method of harvesting skin by shaving small pieces of skin pinched between the thumb and forefinger 1 . Pinch grafts can also be obtained utilizing a skin hook, 2 forceps 3 (Figure 1B), the tip of a needle, 4 or suction 5 to elevate the skin. The skin can then be shaved with either a scalpel or a double‐edged razor blade 6 .…”

Section: Methods Of Harvesting Split‐thickness Skin Graftsmentioning

confidence: 99%

Techniques of Split‐Thickness Skin Grafting for Lower Extremity Ulcerations

Kirsner

Falanga

1993

The Journal of Dermatologic Surgery and Oncology

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“…Split-thickness skin grafts consist of epidermis and a variable thickness of dermis used for temporary and permanent coverage for cutaneous wounds [36][37][38]. The presence of intact dermis helps in healing the wound by epithelialization.…”

Section: Split-thickness Skin Graftsmentioning

confidence: 99%

Clinical application of skin substitutes

Damodaran¹,

Syed

Leigh

et al. 2008

Expert Review of Dermatology

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There has been a perpetual demand for skin and its replacements, which has fuelled advances in the development of novel skin substitutes. The field of skin bioengineering has made mammoth progress in the last 30 years, helped by the advances in the biotechnology and understanding of wound-healing mechanisms. The options for skin substitutes currently range from the cadaveric skin of the past to a number of epidermal, dermal and composite constructs. This review focuses on the clinical applications of various skin substitutes currently available, looking into their advantages and disadvantages and the scope for future improvements. KEYWORDS: allograft • autograft • bioengineering • skin substitute • xenograftOverview of skin substitutes, driving needs Skin is the largest and a vital organ of the body, made of multiple layers of epithelial tissues. Skin plays the most important role in protecting the body against chemicals and pathogens. Its other main functions are insulation, control of evaporation and temperature regulation. The outermost epidermis consists of stratified squamous epithelium with the underlying connective tissue, the dermis, and the hypodermis or basement membrane. The epidermis forms the waterproof, protective wrap over the body surface against mechanical, chemical or thermal stress, and consists of keratinocytes, melanocytes, Langerhans' cells and merkels cells. Keratinocytes undergo differentiation and express several proteins, such as keratins and cadherins. Dermis is situated below the epidermis and consists of dense connective tissue fibers that cushion the body from stress and strain and also gives the dermis its properties of strength, elasticity and extensibility. Collagen is a main protein of the connective tissue and forms the extracellular matrix, which is interwoven with elastin fibers and glycosaminoglycans (GAGs), that supports most tissues and gives cells their outer structure. Skin is exposed to a wide range of insults, such as burns and trauma, resulting in complex wounds, and management of such wounds poses a great challenge. Wound closure requires a material to restore epidermal barrier function and become incorporated into the healing wounds. The use of skin grafts as a wound cover was well established in early 1970. Skin substitutes in the form of allografts (cadaver skin and human amnion) and xenografts (mainly pig) were used with the greatest potential for restoring the altered physiology of skin after severe burns and ulcers. Currently, bioengineered skin products and skin equivalents have been used for treating acute and chronic burn wounds. Since the discovery of keratinocyte sheets for wound-healing applications [1], several modifications in skin substitutes with multiple compositions were designed and tested for treating wounds [1,2]. Recent skin substitutes contain live cells, such as fibroblasts and keratinocytes, in bioengineered scaffolds of natural or synthetic matrices, which provide mechanical stability for the cells to grow [3]. For long-term recovery, the str...

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The Technique and Current Status of Pinch Grafting

Cited by 18 publications

References 18 publications

Grafts in Dermatologic Surgery

Grafts in Dermatologic Surgery

Techniques of Split‐Thickness Skin Grafting for Lower Extremity Ulcerations

Clinical application of skin substitutes

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