A Simple and Effective Approach to Defatting Large Surface Area Full-thickness Skin Grafts

Summary:. Skin grafting is a fundamental tool in plastic surgery for the resurfacing of wounds resulting from burns, necrotizing infections, trauma, oncologic resections, donor site defects, and other causes. Compared with split-thickness skin grafts, full-thickness skin grafts (FTSGs) undergo less...

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Main Authors: Cole V. Roblee, BS, Peter Mankowski, MD, MSc, Lauren Marquette, MD, Katherine M. Gast, MD, MS, William M. Kuzon, Jr, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2024-08-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006020
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author Cole V. Roblee, BS
Peter Mankowski, MD, MSc
Lauren Marquette, MD
Katherine M. Gast, MD, MS
William M. Kuzon, Jr, MD, PhD
author_facet Cole V. Roblee, BS
Peter Mankowski, MD, MSc
Lauren Marquette, MD
Katherine M. Gast, MD, MS
William M. Kuzon, Jr, MD, PhD
author_sort Cole V. Roblee, BS
collection DOAJ
description Summary:. Skin grafting is a fundamental tool in plastic surgery for the resurfacing of wounds resulting from burns, necrotizing infections, trauma, oncologic resections, donor site defects, and other causes. Compared with split-thickness skin grafts, full-thickness skin grafts (FTSGs) undergo less secondary contracture and often result in better aesthetic outcomes. To assure graft take, FTSGs require thorough defatting and adequate contact between the graft and the underlying wound bed. Conventionally, during the defatting process, FTSGs are stabilized on the surgeon’s fingers, whereas curved scissors are used to remove the subcutaneous tissue. This approach is effective for small grafts, but for large FTSGs, it is time-consuming and ergonomically challenging.
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series Plastic and Reconstructive Surgery, Global Open
spelling doaj-art-2dd8a2941b854be6a1c219d8f7cb171a2025-08-20T02:23:11ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-08-01128e602010.1097/GOX.0000000000006020202408000-00003A Simple and Effective Approach to Defatting Large Surface Area Full-thickness Skin GraftsCole V. Roblee, BS0Peter Mankowski, MD, MSc1Lauren Marquette, MD2Katherine M. Gast, MD, MS3William M. Kuzon, Jr, MD, PhD4From the * Section of Plastic Surgery, University of Michigan, Ann Arbor, Mich.From the * Section of Plastic Surgery, University of Michigan, Ann Arbor, Mich.From the * Section of Plastic Surgery, University of Michigan, Ann Arbor, Mich.‡ Division of Plastic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisc.From the * Section of Plastic Surgery, University of Michigan, Ann Arbor, Mich.Summary:. Skin grafting is a fundamental tool in plastic surgery for the resurfacing of wounds resulting from burns, necrotizing infections, trauma, oncologic resections, donor site defects, and other causes. Compared with split-thickness skin grafts, full-thickness skin grafts (FTSGs) undergo less secondary contracture and often result in better aesthetic outcomes. To assure graft take, FTSGs require thorough defatting and adequate contact between the graft and the underlying wound bed. Conventionally, during the defatting process, FTSGs are stabilized on the surgeon’s fingers, whereas curved scissors are used to remove the subcutaneous tissue. This approach is effective for small grafts, but for large FTSGs, it is time-consuming and ergonomically challenging.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006020
spellingShingle Cole V. Roblee, BS
Peter Mankowski, MD, MSc
Lauren Marquette, MD
Katherine M. Gast, MD, MS
William M. Kuzon, Jr, MD, PhD
A Simple and Effective Approach to Defatting Large Surface Area Full-thickness Skin Grafts
Plastic and Reconstructive Surgery, Global Open
title A Simple and Effective Approach to Defatting Large Surface Area Full-thickness Skin Grafts
title_full A Simple and Effective Approach to Defatting Large Surface Area Full-thickness Skin Grafts
title_fullStr A Simple and Effective Approach to Defatting Large Surface Area Full-thickness Skin Grafts
title_full_unstemmed A Simple and Effective Approach to Defatting Large Surface Area Full-thickness Skin Grafts
title_short A Simple and Effective Approach to Defatting Large Surface Area Full-thickness Skin Grafts
title_sort simple and effective approach to defatting large surface area full thickness skin grafts
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006020
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