Skin Graft in the Surgery Department “B” of the CHU du Point “G” about 50 Cases

Mahamadou Coulibaly,Birama Togola,Drissa Ouattara,Bréhima Bengaly,Diallo Siaka,Souleymane Sanogo,Traoré Drissa,Nouhoum Ongoiba

doi:10.4236/ss.2020.117021

Abstract

Aim: To analyze the practice of skin grafting in the surgery department “B” of the CHU of Point “G” in Bamako. Patients and Methods: This was a retrospective and prospective study carried out between 1980 and 2014, covering all patients who underwent a skin graft and hospitalized. It covered all patients who underwent a skin transplant and were hospitalized in the department during the study period. Result: There were 50 patients including 25 women and 25 men. The mean age was 25.2 ± 19 years. The average duration of lesion evolution was 1 year. The lesions to be grafted were located in the lower limbs in 60%. The average area of substance loss was 13.2 cm2. The indication for skin graft was asked for loss of substance following scar bridles in 40%, ulcerative-necrotic wounds of infectious or traumatic origin (32%), malignant skin tumor (14%). In pathology, there were 5 cases of malignant melanoma and 2 cases of squamous cell carcinoma. Thin skin grafting was the most used technique (62%). The postoperative follow-ups were simple in 94%. There were 3 cases of graft necrosis. The average length of hospital stay was 28 days. The esthetic result was judged satisfactory in 84% of the cases (n = 42), average in 14% of the cases (n = 7) and unsatisfactory in 2% of the cases (n = 1). The sensitivity was good in 36 patients (72%), average in 12 patients (24%) and poor in 2 patients (4%). Conclusion: They mainly affect young people. The reduction of accidents on the public highway, good management of burn injuries, wounds and good hygiene of the population will considerably reduce the rate of its affections.

Highlights

Skin grafting is a surgical procedure which consists in implanting a graft or a flap of skin collected at a location on the patient’s body [1]
Aim: To analyze the practice of skin grafting in the surgery department “B” of the CHU of Point “G” in Bamako
The reduction of accidents on the public highway, good management of burn injuries, wounds and good hygiene of the population will considerably reduce the rate of its affections

Summary

Introduction

Skin grafting is a surgical procedure which consists in implanting a graft or a flap of skin collected at a location on the patient’s body [1]. In France in 1992 in Professor Servant’s plastic reconstructive and aesthetic surgery department, out of 1190 procedures performed, 698% or 58% represented dermatological lesions which required a skin graft [2]. In Mali, according to Bah’s study [3] carried out at the CNAM (former Marchoux Institute) in 2008, skin grafting represented 16.16% of surgical treatment. At Point “G” University Hospital, the “B” surgery department, in addition to its visceral surgery activities, has been practicing skin grafting for several years. No work has been undertaken on this surgical activity This is what motivated this work, the purpose of which was to analyze the practice of skin grafting in the surgery department “B” of the CHU of Point “G” in Bamako

Objectives

Methods

Results