Full Thickness Skin Graft (Wolfe Graft)
Objective
Coverage of small skin defects on face, hand and fingers following surgical excision of benign lesions or traumatic skin loss.
Position
Depends upon site.
Anesthesia
Local or general.
Procedure
1. Clean and drape donor and recipient areas.
2. Mark and excise the lesion.
3. Secure hemostasis.
4. Make a template of the defect.
5. Transfer template to donor area.
6. Mark and harvest graft.
7. Close donor area.
8. Thin out graft to remove fat from undersurface.
9. Suture graft in recipient bed.
10. Apply tie-over dressing.
Instruments
• Plastic surgery set
• Sterile polyvinyl sheet for patter outline template
• Vaseline/paraffin impregnated nonadherent gauze (Jelonet, Fairly)
• Irrigation syringe
• Cotton soaked in betadine or acriflavin solution.
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