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Skin grafting – a technique to reconstruct a defect

Skin grafting is a method to reconstruct a defect in skin regardless of the cause. It is the process mostly done to reconstruct after the surgical removal of cutaneous malignancies. The method is also done to cover chronic non healing cutaneous ulcers. It is done to replace tissues that are lost due to full thickness burns and even to restore hair to areas of alopecia. It is also a part of the elective plastic surgery process. Generally, this method is not required in first or second-degree burns as it heals with no scarring. Basically, this technique is needed in third-degree burn cases when the skin is destroyed to its full depth. A skin graft is a free piece of tissue without its own blood supply, and thus its survival relies totally on nutrients from the wound bed on which it is placed.

Types of skin grafting

A skin graft is a method which is used to cover skin that is damaged or missing, and this surgical process involves removing healthy portions of skin from one body part to get a normal appearance to another portion of the same body. The place from which skin is removed is known as the donor site. there are three types of skin grafting 

  • Split-thickness skin graft

This is a technique of skin grafting commonly used to treat burn wounds. In this process, it uses only the layers of skin closest to the surface. To take skin Donor location sites will be chosen and which is based on size, type, as well as the pigment of skin needed.

  • Full-thickness skin graft

 This is another type of skin graft that is used to treat deep as well as large wounds or scars. This method is used when maximum skin elasticity is required, and it uses all layers and not only the surface layer of skin from the donor site from which skin has to be taken. 

  • Composite skin graft

This type of skin grafting is done to provide the repaired skin with the most underlying support. This method involves lifting all layers of skin, fat, as well as the underlying cartilage from the donor site. 

Why and when do you need a skin graft?

A skin graft is required when the region of skin loss is too big and which cannot be closed using local skin and stitches alone. The skin graft is a process that covers the wound and attaches itself to the cells beneath and which help it to start to grow in its new location. If in case a skin graft will not be performed, the area will turn into an open wound and will take much longer to heal out completely. 

More about skin grafting

Grafting usually becomes necessary when there is an injury or illness and is done either for temporary or permanent purposes. There are several ways to perform the process, but the most common is to take the patient’s own skin from a different body part and place it to the affected area. There are some complications involved, but with proper care as well as preparation, these complications can be easily minimized and can even be avoided. Skin grafting cost in India varies and depends upon the size of the graft that is needed. Recovery after a successful skin graft may take several months. During the first ten days, patients are advised to remain in bed, especially when the grafts are in the leg area. Following 2 to 3 weeks, any activities that will put pressure on the new skin of the transplant area should be avoided. For the next succeeding months, the graft will be supported with bandages or stockings to lessen the risk of contractures.

Risks and complication involved in skin graft

Like every other procedure skin grafting also involves risks and complications . some are listed below:

  • Increased or decreased sensation at the recipient site
  • Hair may not grow on recipient site
  • Graft tissue contracts, interfering with limb movement
  • Graft failure
  • Infection at either the donor or recipient site
  • Differences in skin colouration
  • Poor healing

There are many best surgeons in India to perform skin grafting at an affordable cost. Thus contact them to get treated.

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