Management of the Accidental STSG Donor Site Injury: Case Reports.
- Author:
Su Won HUR
1
;
Tae Gon KIM
Author Information
1. Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea. kimtg0919@hanmail.net
- Publication Type:Case Report
- Keywords:
Skin transplantation;
Transplant donor site;
Injury;
Fibrin tissue adhesive
- MeSH:
Aged;
Fibrin Tissue Adhesive;
Humans;
Leg;
Skin;
Skin Transplantation;
Supine Position;
Thigh;
Tissue Donors*;
Transplant Donor Site;
Transplants;
Wound Healing;
Wounds and Injuries
- From:Journal of Korean Burn Society
2015;18(1):31-34
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
When the split thickness skin graft (STSG) was harvested from the patient's posterior thigh in supine position, an accidental donor site injury could occur by postural instability with the raised leg of patient. The idea of partial return of the harvested graft to the donor site, spraying fibrin sealant and using skin fragments have been individually introduced as the management of donor site injury created during harvest of the STSG. However, in our knowledge, there has been no attempt to combine the three ideas and apply to the accidental STSG donor site injury. We present the fragments regraft technique, with deliberately leaving some of harvested skin, cutting the remnant skin into small pieces, and immediately returning the skin fragments by spraying fibrin sealant on the damaged donor site wound. This method could be considered as a treatment option to prevent delayed wound healing of STSG donor site injury, especially when elderly or debilitated patients who are suspected of a delayed wound healing and poor-quality skin.
