La greffe de peau en nourrice. Étude clinique à propos de dix cas

Abstract

In spite of a rigorous technique, a graft will not necessarily completely take on a burned area. We propose to preserve on the donor site the excess skin graft harvested during the excision-graft procedure. A clinical study was carried out in nine patients who had their excess skin graft preserved at the time of excision-graft for deep burn. The unused fragments of skin graft were preserved on the donor site. In the event of a small skin graft failure, the preserved skin graft was separated from its donor site and used as a new skin graft during wound dressing. Nine patients required the use of 10 preserved skin grafts. The average age was 54years and the average burned third degree surface was 17% total body surface area. In seven procedures for six patients, the preserved skin graft was taken off without pain and was used with a complete take. In three cases, the preserved skin graft was not used because in two cases, the take of the initial skin graft was complete and in one case, a definitely insufficient take required reoperation. The preservation and use of the skin graft as a complement was simple and useful and made it possible to easily complete a skin graft when the initial take was incomplete. It would appear to be efficient in burn surgery since it accelerates cicatrisation and avoids the need for a new graft harvesting procedure.