Dr. Ebraheim’s educational animated video was designed to help expand your understanding about the Skin Graft.
Wounds which require skin grafting can occur from trauma, infection or surgery. High energy fractures may cause compartment syndrome which requires fasciotomy. In compound fractures, the open wound is most often treated with a skin graft. In simple, uncomplicated wounds, the surgeon can usually close the wound with sutures or staples. Occasionally, the surgeon cannot bring the edges of the wound together and the muscles become exposed. The wound is usually treated with wet or dry dressing. The V.A.C (vacuum assisted closure) system is also used to promote healing and reduce swelling of the open wound.
Before the skin graft can be harvested and applied, the wound should be debrided, excised and measured. The jet lavage is commonly used to thoroughly cleanse the wound.
A skin graft involves cutting a thin slice of skin from the donor area. The skin sample is commonly taken from the area of the thigh. The skin sample is prepared before grafting. The donor skin is then meshed which will cut tiny slits in the graft, allowing the graft to be stretched for covering large areas of the wound using less skin. The skin mesh is now ready to be placed over the wound and the use of staples adequately secures the skin graft of the wound. Skin grafts are very fragile and great care must be taken when looking after them even after the wound has healed. Sterile dressing is applied to the wounds and should remain in place for approximately 5 days.
During the first dressing change, the clinician will slowly remove the bandages and saline may be used to moisten the dressing in order to avoid damaging the graft. The wound is inspected for signs of infection.
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