Monday, November 21, 2016

Plasti surgery split thcnkess graft


Split Skin (Thiersch) Grafting)
Objective
To cover wounds with loss of skin which cannot be closed by approximation of skin edges.
Position
Variable according to the site of wound.
Anesthesia
GA (LA can be used for small wounds).
Procedures
1.  Clean and drape donor and recipient areas.
2.  Take skin graft.
3.  Prepare recipient bed by scraping/excision.
4.  Secure hemostasis.
5.  Apply nonadherent gauze.
6.  Dressing.
7.  Tie over dressing over trunk. Circumferential pressure dressing over limbs.
8.  Splint the limb with Velroc/Gypsona POP slab.
Instruments
Skin grafting set consisting of:
   Skin grafting knife (Humby, Blair or Electric dermatome)
   Appropriate blade of skin grafting knife
   Skin graft boards (wooden or stainless steel)
   Skin graft mesher (optional)
   Liquid paraffin (sterile)
   Vaseline/paraffin impregnated gauze (Fairly, Jelonet)
   Sterile cotton soaked in betadine or acriflavin
   Gamjee pads and crepe bandages
   Adrenalin in saline (1 in 100,000)
   Syringe for irrigation
   Velroc or Gypsona for splinting
   Sutures 3 ‘0’ Nylon/silk on cutting needle.
•           4 ‘0’ chromic catgut on curved cutting needle for children

Any questions be sent to drmmkapur@gmail.com
All older posts are stored in archive for accessand reiew
Thosewho follow may post contributions to the site,please writo tp address above.
To create consumer/provider enagement visit www.surginstruatlas.blogspot.co
www.drmmkapur.blogspot.com                 www.surgseminar.blogspot.com


Also available now on android & smartphones same internet addres


No comments:

Post a Comment