Skin being harvested from the abdomen
with a dermatome.
|
Types of Wound Closure:
Skin Grafts
Skin grafts are used only when the wound cannot be closed by
direct approximation. They are usually classified as
split-thickness or full-thickness. Split-thickness skin
grafts (STSGs) include the epidermis and some portion of the
dermis. Full-thickness skin grafts (FTSGs) include the
epidermis and the dermis.
Choice between them is based on the wound to be closed. Thin
grafts take more easily and can be used on questionably
reliable surfaces; thicker grafts maintain a more normal
appearance and are particularly useful where a desirable
cosmetic outcome is required, eg, the face.
Video Resource: Burns - Total Care and
Management, Michael Madden, M.D., Jerome Finkelstein,
M.D., Michael Marano, M.D., 1988 (VHS 30 minutes) available
from Ciné-Med's
ACS/USSC
Educational Library (Integumentary System)
back
|