K-wire assisted split-thickness skin graft harvesting from the anterior trunk
| Autor: | Mehmet Severcan, Atilla Coruh, Yalcin Yontar |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Anatomic Site Thigh Critical Care and Intensive Care Medicine Abdominal wall Young Adult 03 medical and health sciences 0302 clinical medicine Anterior chest medicine Humans Kirschner wire Child Thoracic Wall Rib cage business.industry Abdominal Wall Extremities 030208 emergency & critical care medicine Skin Transplantation General Medicine Trunk Surgery medicine.anatomical_structure Dermatome 030220 oncology & carcinogenesis Tissue and Organ Harvesting Emergency Medicine Female Burns business Bone Wires |
| Zdroj: | Burns. 42:222-229 |
| ISSN: | 0305-4179 |
| DOI: | 10.1016/j.burns.2015.09.012 |
| Popis: | Split thickness skin graft (STSG) harvesting from the anterior chest and abdominal wall skin is quite a difficult process. The main reason for the difficulty to perform this process is the unsuitable anatomic characteristics of the anterior trunk, such as irregular wavy-like surface over the ribs and lax abdominal wall skin resulting in collapse due to lack of adequate underneath supporting structures when a downward force is applied by the skin graft dermatome. Lower extremity and especially the thigh are generally chosen as the donor site where the STSGs are easily harvested from. However, extensive lower extremity burns, with or without other region burns, preclude harvesting auto STSGs from this invaluable anatomic site. We harvested K-wire assisted STSGs from the anterior chest and abdominal wall skin of 7 patients with lower extremity burns and also a patient that sustained motor vehicle collision. We encountered no problems in any of our patients both intra and postoperatively by using K-wire assisted STSG harvesting. All of the STSGs donor sites healed uneventfully without complications. In our opinion, K-wire assisted STSG harvesting must always be in the tool-box of any surgeon who deals with extensive burns with or without lower extremity burns and extensive traumas of lower extremities. |
| Databáze: | OpenAIRE |
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