SKIN GRAFTS - Practical Plastic Surgery

SSKKIINN GGRRAAFFTTSSA skin graft involves taking a piece of skin from an uninjured area ofthe body (called the donor site) and using it to provide coverage for anopen wound. When primary closure is impossible because of softtissue loss and closure by secondary intention is contraindicated, a skingraft is the next rung on the reconstructive ladder. It is not a technicallydifficult procedure but does require some surgical skills. For a success-ful result, you need a thorough understanding of how skin GRAFTS healand how to perform the iinnffoorrmmaattiioonnAnatomy of SkinThe thickness of human skin is quite variable. The eyelids have thethinnest skin ( mm), and the thickest skin is found on the soles ofthe feet (> mm).EpidermisThe epidermis is the top portion of the skin . The outer layers of the epi-dermis are formed by essentially dead, nonreplicating cells. The inner-most layer contains the cells capable of replication, which are responsiblefor wound healing and skin below the epidermis is the dermis.

Skin Grafts 99 alive for, at most, 3–5 days. During this period, blood vessels begin to grow from the wound bed into the graft. By the time the graft is no

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  Graft, Skin, Skin grafts

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