The Treatment of Skin Graft Donor Sites
Skin grafting is commonly used in the treatment of burns, venous and ischaemic ulceration and post-operative wound defects. Most skin grafting can adequately be performed with the use of free skin grafts which can be broadly categorised into whole and split skin grafts. The use of pinch skin grafts (Fig 1) which are in effect whole skin grafts centrally and split skin grafts peripherally are more1,2 frequently being used for the treatment of venous ulceration . It is well described that the donor sites from which skin grafts are obtained are the source of more discomfort than the recipient site. This discomfort is caused by exposure of the dermal nerve endings and is diminished more rapidly it epithelialisation occurs readily. The presence of infection delays healing and can in addition cause increased discomfort. Donor site discomfort may also vary depending on the site from which the skin graft is obtained. In pinch skin grafting the donor sites more commonly used are the anterolateral and anteromedial aspect of the thigh.
KeywordsDonor Site Skin Graft Split Skin Graft Anteromedial Aspect Hyperbaric Oxygen Treatment
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- 3.W.A. Gilmore and R.G. Wheeland, Treatment of ulcers on legs by pinch grafts and a supportive dressing of polyurethane.J. Dermatol. Surg. Oncol. 8: 177–83, (1982).Google Scholar
- 4.D.J,. McCarthy and B. Montgomery, Polyurethane in the management of ulcerating lesions of the lower extremities, J.A.P.A. 73: 1–9, (1983).Google Scholar