Full thickness skin grafting with marginal de-epithelialization of the wound: Experience with two cases

Two cases are presented where large (25 mm and 45 mm diameter) skin cancers were removed followed by the application of full thickness skin grafts over the defect where the margins of these defects had been de-epithelialized in order to enhance the take of the full thickness skin grafts.FTSGs have a...

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Main Author: Graham William Sivyer
Format: Article
Language:English
Published: Elsevier 2018-06-01
Series:JPRAS Open
Online Access:http://www.sciencedirect.com/science/article/pii/S235258781830007X
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spelling doaj-efbc8e285f944f6ba766ee0dee697e4e2020-11-24T23:04:27ZengElsevierJPRAS Open2352-58782018-06-01163135Full thickness skin grafting with marginal de-epithelialization of the wound: Experience with two casesGraham William Sivyer0Mermaid Beach Medical Centre, 2506 Gold Coast High way, Mermaid Beach, QLD 4218, Australia.; School of Medicine, University of Queensland, Brisbane, Queensland, AustraliaTwo cases are presented where large (25 mm and 45 mm diameter) skin cancers were removed followed by the application of full thickness skin grafts over the defect where the margins of these defects had been de-epithelialized in order to enhance the take of the full thickness skin grafts.FTSGs have a greater risk of failure as compared to split skin grafts (SSG). This relates to the thickness of the graft (split vs full thickness) and the time to vascularization of the defect bed (48 hours). It is proposed that de-epithelialization of the wound (recipient) margin provides an immediate partial wound vascular bed, reducing the need for adequate vascularization of the recipient wound bed.These cases suggest that with marginal de-epithelialization of the recipient wound margin, survival of a large skin graft can be enhanced. Keywords: Skin neoplasms, Transplantation, Scalp, Handhttp://www.sciencedirect.com/science/article/pii/S235258781830007X
collection DOAJ
language English
format Article
sources DOAJ
author Graham William Sivyer
spellingShingle Graham William Sivyer
Full thickness skin grafting with marginal de-epithelialization of the wound: Experience with two cases
JPRAS Open
author_facet Graham William Sivyer
author_sort Graham William Sivyer
title Full thickness skin grafting with marginal de-epithelialization of the wound: Experience with two cases
title_short Full thickness skin grafting with marginal de-epithelialization of the wound: Experience with two cases
title_full Full thickness skin grafting with marginal de-epithelialization of the wound: Experience with two cases
title_fullStr Full thickness skin grafting with marginal de-epithelialization of the wound: Experience with two cases
title_full_unstemmed Full thickness skin grafting with marginal de-epithelialization of the wound: Experience with two cases
title_sort full thickness skin grafting with marginal de-epithelialization of the wound: experience with two cases
publisher Elsevier
series JPRAS Open
issn 2352-5878
publishDate 2018-06-01
description Two cases are presented where large (25 mm and 45 mm diameter) skin cancers were removed followed by the application of full thickness skin grafts over the defect where the margins of these defects had been de-epithelialized in order to enhance the take of the full thickness skin grafts.FTSGs have a greater risk of failure as compared to split skin grafts (SSG). This relates to the thickness of the graft (split vs full thickness) and the time to vascularization of the defect bed (48 hours). It is proposed that de-epithelialization of the wound (recipient) margin provides an immediate partial wound vascular bed, reducing the need for adequate vascularization of the recipient wound bed.These cases suggest that with marginal de-epithelialization of the recipient wound margin, survival of a large skin graft can be enhanced. Keywords: Skin neoplasms, Transplantation, Scalp, Hand
url http://www.sciencedirect.com/science/article/pii/S235258781830007X
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