Calculation of practical skin donor area for meshed skin grafting in real-world surgery.
burn
concavo-convex shape of the donor site
coverage rate
expansion rate
meshed skin grafts
Journal
Dermatologic therapy
ISSN: 1529-8019
Titre abrégé: Dermatol Ther
Pays: United States
ID NLM: 9700070
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
07
08
2020
revised:
20
09
2020
accepted:
03
10
2020
pubmed:
11
10
2020
medline:
15
5
2021
entrez:
10
10
2020
Statut:
ppublish
Résumé
Meshed skin grafting is a common technique in operations to minimize surgery on the donor site area. However, the donor site area is empirically determined by surgeons due to the lack of a reliable formula to calculate the donor area required to cover a skin defect. To determine the minimal size for donor skin, the expansion rates of 1.5:1, 3:1, and 6:1 meshed skin graft and the area actually covered by them were investigated in real-world operations. About 51 patients who received 57 operations with meshed skin grafts were enrolled in this study. The average clinical coverage rates of area in cases in which 1.5:1, 3:1, or 6:1 meshed skin grafting was performed were 1.02, 1.29, or 2.18, respectively. Those rates were notably low when recipient sites were concave. The average expansion rates of 1.5:1, 3:1, and 6:1 meshed skin grafts were about 1.16, 1.61, and 2.32, respectively. These results indicate that the size of donor skin should be about 85%, 60%, and 45% size of the recipient site to achieve the target 1.5:1, 3:1, and 6:1 meshed skin graft, respectively. In addition, the donor area should be adjusted in consideration of the shape of the recipient sites.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14393Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
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