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Characterizing the use of full- and split-thickness skin grafts among dermatologists: an international survey.
Clin Exp Dermatol
December 2024
New Zealand Dermatology & Skin Cancer Centre, Te Aro, Wellington, New Zealand.
Background: The use of full-thickness and split-thickness skin grafts (FTSG/STSG) among dermatologists has not been well characterized.
Objectives: To characterize the utilization of graft techniques, fixation methods and training needs pertaining to graft use among an international cohort of dermatologists.
Methods: An online questionnaire was developed iteratively, and subsequently distributed between July and August 2022 to dermatologists from the UK, European countries and New Zealand (NZ).
Securing skin grafts: A network meta-analysis.
J Plast Reconstr Aesthet Surg
September 2024
Department of Plastic Surgery, Medical School, University of Ioannina, Ioannina, Greece.
Background: Skin grafting is one of the most common procedures in plastic surgery. However, there are no defined guidelines for optimal fixation. The aim of this network meta-analysis (NMA) was to consolidate existing evidence by comparing various graft securing methods and determining the most effective approach for clinical practice.
View Article and Find Full Text PDFManagement of full-thickness skin grafts.
Proc (Bayl Univ Med Cent)
July 2021
Department of Dermatology, Texas Tech University Health Sciences Center, Lubbock, Texas.
Full-thickness skin grafts are a commonly used reconstructive method following Mohs micrographic surgery. The literature varies on the most appropriate methods of suturing and securing grafts as well as best practices to dress the graft postoperatively. Our objective was to review various approaches to management of full-thickness skin grafts, including suturing the graft, securing the graft, and topical emollient use on the graft postoperatively.
View Article and Find Full Text PDFSafeguarding Skin Grafts: An Evidence-Based Summary of Fixation Techniques.
Ann Plast Surg
December 2021
From the Department of Plastic Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Background: Effective skin graft fixation is vital in preventing sheering forces, seroma, and hematoma from compromising graft take. Yet, selecting the ideal technique for securing skin grafts remains a contentious subject, with significant variation in practice existing between surgeons. There is, therefore, benefit to be derived from assessing the literature for evidence-based recommendations to guide the decision-making process.
View Article and Find Full Text PDFTie-Over Bolster Dressings vs Basting Sutures for the Closure of Full-Thickness Skin Grafts: A Review of the Literature.
J Cutan Med Surg
January 2019
3 Micrographic Surgery and Dermatologic Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Background: Full-thickness skin grafting is a well-established technique in the reconstruction of various tissue defects and wounds. However, lack of uniformity in the procedure of closing and securing the grafts has led to a wide range of different techniques.
Objective: This article reviews the use of tie-over bolster dressings compared to basting sutures for the fixation and postsurgical immobilization of full-thickness skin grafts (FTSGs), discusses details of each method, and proposes a practice guideline for the closure of FTSGs.
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