Transcription of SKIN GRAFTS - Practical Plastic Surgery
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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.
102 Practical Plastic Surgery for Nonsurgeons If you have a Humby knife: 1. Hold it with the sharp edge at about a 45° angle with the skin. 2. With a back-and-forth motion run the knife over the tight skin.
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