Emad, A., Abdelbaset, M., Hashem, R., Hawas, E., Elnaggar, A. (2023). Comparative Study between Split Thickness Skin Graft and Split Thickness Dermal Graft in Coverage of Raw Areas. The Egyptian Journal of Plastic and Reconstructive Surgery, 47(1), 13-19. doi: 10.21608/ejprs.2023.284324
Ahmed Emad; Mohamed S Abdelbaset; Reham E Hashem; Emad Hawas; Abdelnasser Elnaggar. "Comparative Study between Split Thickness Skin Graft and Split Thickness Dermal Graft in Coverage of Raw Areas". The Egyptian Journal of Plastic and Reconstructive Surgery, 47, 1, 2023, 13-19. doi: 10.21608/ejprs.2023.284324
Emad, A., Abdelbaset, M., Hashem, R., Hawas, E., Elnaggar, A. (2023). 'Comparative Study between Split Thickness Skin Graft and Split Thickness Dermal Graft in Coverage of Raw Areas', The Egyptian Journal of Plastic and Reconstructive Surgery, 47(1), pp. 13-19. doi: 10.21608/ejprs.2023.284324
Emad, A., Abdelbaset, M., Hashem, R., Hawas, E., Elnaggar, A. Comparative Study between Split Thickness Skin Graft and Split Thickness Dermal Graft in Coverage of Raw Areas. The Egyptian Journal of Plastic and Reconstructive Surgery, 2023; 47(1): 13-19. doi: 10.21608/ejprs.2023.284324
Comparative Study between Split Thickness Skin Graft and Split Thickness Dermal Graft in Coverage of Raw Areas
1The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Beni Suef University
2The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Suez Canal** University
Abstract
Background: Loss of skin integrity is one of the most common problems in Plastic surgery. Split thickness skin graft is the gold standard in coverage of raw areas but it carries multiple complications like donor site morbidity. The dermal graft may add another autologous option for wound coverage with a concealed donor site scar. Aim: The aim of our study is to assess the safety, limitations, and complications of split thickness dermal graft in coverage of raw areas and to compare it to the standard Split thickness skin graft. Patients and Methods: The study was conducted on 38 patients with raw areas, who attended the outpatient clinics and Emergency Department of Plastic Surgery Department, Beni-Suef University Hospital between October 2019 to October 2021. The mean age was 50 years (range 5-55 years). Raw areas were divided and covered by both split thickness dermal graft (STDG) and split thickness skin graft (STSG). Comparison of donor and recipient site of dermal graft and the standard skin graft was documented using POSAS (Patient Observer Scar Assessment Scale). Results: The Split Thickness skin graft take was complete in 37/38 cases. While Split Dermal Graft Take was complete in 33/38 patients. Most Dermal graft failure occurred in large raw areas. The scar of the dermal graft donor site was better than the standard skin graft donor site regarding pain, itching, color, and texture using POSAS. Conclusion: Split thickness dermal graft had proved to be a valuable adjunct and wholly autologous option in achieving permanent raw areas coverage with decreased donor site morbidity, especially in small sized raw areas.
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