Skin Graft

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SKIN GRAFT

Presented by:
Ratna Oktaviani
G99142018
Rizky Ardiana Vitasari G99152080
M Arief Luthfi Parama G99152077
ADVISOR :
DR. AMRU SUNGKAR, SP. B, SP. BP-RE
CLINICAL WORK OF MEDICAL UNIT GROUP OF SURGERY
MEDICAL FACULTY OF UNS-REGIONAL PUBLIC HOSPITAL OF Dr.MOEWARDI
SURAKARTA
2016

INTRODUCTION
Skin graft surgery is a form of
transfer of all or part of the thick skin
from a region of origin (donor) without
vascularitation
to
other
region
(recipient) to cover a defect.

Skin grafts are usually used in cases


of extensive wounds, third-degree burns,
wounds that do not show improvement
such as diabetic ulcers and vascular
ulcers.

Skin graft generally use the same


skin and individuals in an effort to
increase the success of the action.
The skin that used can be from any
part of the body, but usually from the
thigh area, buttocks, back, or
stomach.

Skin graft technique first introduced


by Tagliacozzi in 1597 in his De
Ceertorum Chirurgia Per Insitionem which
explains flaf forearm to reconstruct the
nose.
Bunger in 1823 transfered skin from
the thigh to the nose.

SKIN

TYPE OF SKIN GRAFT


Autograft

TYPE OF SKIN GRAFT


COMPARISON CHART OF STSG AND FTSG

INDICATION
1. extensive wounds
2. Burns
3. Operations that require skin
graft for healing
4. Area who were infected with
skin loss
5.

Cosmetic

surgery

and

reconstructive

SKIN GRAFT TOOLS

Graft-meshing machine

Operated Padgett dermatome

Davol dermatome

Weck Knives

SKIN GRAFT ATTACHMENT


Before sticking graft in the recipient area

PHYSIOLOGICAL HEALING PHASE SKIN GRAFT

Plasmic phase
Healing
imbibition (

FACTORS THAT AFFECT SKIN GRAFT RESULT

Patients
at
risk
of
experiencing
complications during skin
graft surgery include:
Advanced age (> 60
years) or newborn
Smoking
People with chronic
diseases
Using hypertension
medications,
insulin,
muscle relaxants

Factors Influencing the


Success Skin Graft:
Factors Cause Skin Graft
Failure:

Adequate

vascularization

Hematoma

Mechanical Factors

between the skin graft

Infection

with

Faulty Technique

region

Good
the

No infection

contact
recipient

SKIN GRAFT TREATMENT ON THE


RECIPIENT
When

SKIN GRAFT TREATMENT ON THE DONOR


In donor region the split-thickness skin graft wound dressing was
opened after epithelialization process. Thin split thickness skin graft 79 days, intermediate split thickness skin graft 10-14 days while thick
split-thickness skin graft requires 14 or more. Treatment of split
thickness skin graft is generally taken an average of 14 days unless the
bandage is dirty changed superficially.

Wounds donor in full thickness skin graft was treated like a regular
stitches. On the 3rd day, control wounds and on the 7th day, stitches
can be removed or if the results are believed will not arise problems,
it can directly control the 7th day.

ACTIONS RELATED TO SKIN GRAFTING


Mesh Grafting
Over grafting
Imediate skin graft
Delayed skin graft

COMPLICATIONS
Bleeding
Infection
Hematoma
Seroma
Contracture
Healing that does not match the texture, color or topography

THANK YOU

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