Our Summary
The research paper discusses a study focusing on the use of full thickness skin grafts (FTSG) from the thigh (anterolateral thigh or ALT) as opposed to split thickness skin grafts (STSG), which are commonly used. Full thickness skin grafts generally yield better results, but their use is limited due to the limited availability of donor sites. The study involved reviewing 10 cases where full thickness skin grafts were taken from the thigh and used on various parts of the body including the foot, ankle, lower leg, forearm, and wrist.
The results showed that these grafts provided long-lasting wound coverage, with excellent color and texture matching. Only one case had a partial graft failure, but it didn’t require any additional surgery. Two weeks after the surgery, none of the patients reported any pain at the donor site. Also, there were no complications at the donor site and no patient complained of any tension in the thigh.
The study concludes that the use of full thickness skin grafts from the thigh, with the help of vacuum-assisted closure, is a feasible option. Considering the quality of the skin, the availability of large skin size, early pain relief, and minimal complications at the donor site, the thigh should be reconsidered as a donor site for full thickness skin grafts.
FAQs
- What are the advantages of using full thickness skin grafts from the thigh over split thickness skin grafts?
- Were there any complications or discomfort reported by patients at the donor site after surgery?
- Is the thigh a viable donor site for full thickness skin grafts according to the study?
Doctor’s Tip
A doctor might tell a patient undergoing skin graft surgery to make sure to keep the area clean and dry to prevent infection. They may also advise the patient to avoid putting any pressure or strain on the area where the graft was placed to ensure proper healing. Additionally, following the doctor’s post-operative care instructions, including taking any prescribed medications and attending follow-up appointments, is crucial for a successful recovery.
Suitable For
Patients who may be recommended skin graft surgery include those with extensive burns, wounds that are difficult to heal, skin infections, skin cancer removal, traumatic injuries, or congenital skin defects. Additionally, patients with skin ulcers, diabetic wounds, pressure sores, or other chronic wounds may also benefit from skin graft surgery. The type of skin graft recommended will depend on the size and location of the wound, as well as the overall health and preferences of the patient.
Timeline
Before skin graft surgery, a patient may have a consultation with a surgeon to discuss the procedure and potential risks. They may also undergo preoperative tests and preparation. During the surgery, the patient will be under anesthesia as the surgeon removes healthy skin from a donor site and places it over the wound area to promote healing.
After skin graft surgery, the patient will typically stay in the hospital for observation and wound care. They may experience pain, swelling, and discomfort at both the donor and recipient sites. The patient will need to follow a strict care routine to prevent infection and promote healing, which may include dressing changes, keeping the area clean, and avoiding strenuous activity. Over time, the skin graft will heal and blend in with the surrounding skin, providing long-lasting coverage and improved appearance.
What to Ask Your Doctor
- What type of skin graft is being recommended for my surgery - full thickness or split thickness?
- What are the advantages of using a full thickness skin graft from the thigh compared to a split thickness skin graft?
- Are there any specific risks or complications associated with using a full thickness skin graft from the thigh?
- How long can I expect the recovery process to take after receiving a full thickness skin graft from the thigh?
- Will I experience any pain or discomfort at the donor site on my thigh after the surgery?
- How will the color and texture of the skin graft from my thigh match with the surrounding skin on the area where it is being placed?
- Are there any specific post-operative care instructions I should follow to ensure the success of the skin graft from my thigh?
- Are there any alternative donor sites for a full thickness skin graft that I should consider?
- What is the success rate of using full thickness skin grafts from the thigh in comparison to other donor sites?
- How soon after the surgery can I expect to see the final results of the skin graft from my thigh?
Reference
Authors: Shin SH, Kim C, Lee YS, Kang JW, Chung YG. Journal: J Hand Surg Asian Pac Vol. 2017 Dec;22(4):497-502. doi: 10.1142/S0218810417500563. PMID: 29117823