The way of skin grafting, what is skin grafting

Medical 3D Animation Demonstration: Skin Grafting.

Peel Blade Peel Transplantation Stamp Peel Blade Peel and donor area coated with an appropriate amount of liquid paraffin. The assistant presses and flattens the donor skin area with the palms of both hands; Or the surgeon and the assistant each use a piece of wood to place at both ends of the donor area, so that the donor area is tight, the surgeon can hold the skin extraction blade in his bare hand, or use hemostats and a small skin extraction knife holder to clamp the safety blade, and move the blade from one end to the other end with a small forward and backward amplitude or saw-like advancement.

Generally speaking, the blade and the ** surface are about 10 15 angles. The standard superficial skin sheet is translucent, flat, and the edges are not curled, and the wound surface of the donor skin area is densely packed with small bleeding spots. When the size of the piece of skin is as large as it needs to be, the piece is cut off.

The residual wound in the donor area is covered with sterile oil gauze, and the dressing is compressed with multiple layers of gauze and cotton pads, or the dressing is fixed with elastic bandages and elastic leg sleeves. <>

There are many types of skin grafting, including free skin grafting (stamp-sized, full-sheet, etc.) and skin flap grafting.

The ones that can be transplanted include autologous skin, allogeneic skin, xenogeneous skin (pigs, sheep, chickens, fish and other animals**), artificial skin (artificial skin**) and epidermal cell cultured skin, etc.

It is recommended that patients choose the method that suits them according to the doctor's advice when undergoing skin grafting surgery, and take care of them accordingly after surgery.

According to experts, skin grafting surgery is to remove a part of the skin graft in its own health, which is used to cover the area of the excision scar, and it is still very suitable for the situation that a large area of scar tissue or local tattoos is not easy to clean off.

In general, the success rate of this operation is very high, there will be suture marks around the skin graft area, and there will be scars at the site where the skin is taken.

Skin grafting is especially for large burn scars on the face, arms, etc., to cover the unsightly damage ** and make these scarred areas look smoother.

However, because it is difficult to match the color or elasticity of the skin graft or flap around the affected area**, the cosmetic results are not very satisfactory.

As far as current medical technology is concerned, the best effect of skin grafting** is only close to normal skin tone, and it cannot really completely remove the scar. However, the preoperative judgment and surgical effect expectation of experts and beauty seekers must be confirmed in advance, so as not to achieve the desired effect after transplantation, and it is best to go to a regular hospital to avoid the sequelae and complications of the operation, so that the effect of the operation can be the best.

This is the true confession of a skin graft patient:

About Skin Grafting! My experience! Vertical masking.

Hello everyone! Hey, summer is here again, it's time to wear short sleeves, but what about me? No, I can say that I have a beautiful face, but there is a scar in the middle of my left hand, I did a skin graft surgery in the plastic surgery department of West China Hospital in Sichuan in 05 years, and the damn doctor didn't give me that there may be pigment after skin grafting, nor did he tell me that there will be a scar at the skin removal site, and now the skin graft is many times more ugly than before, I took the skin on the stomach, and now the stomach is also a long scar, I am angry, and I used more than 10,000 yuan, I am going to die of depression, I wanted to go to the hospital, but it can't be with this, even reporters don't dare to interview, it should give Sichuan a lot of income, let alone this one.

In my personal experience, don't go for skin grafting, the success rate of skin grafting surgery is very small.

The doctors in the group who operated on me are not responsible for this, and there will be retribution.

The place where the skin is grafted is pigmented, the edges are scars, and the skin is also scars.

When I didn't have surgery before, I didn't see much of it.

You can also wear short sleeves at night.

Now I regret it, so don't believe anything that would be better after surgery, and tell you that it will only get worse. Dressed as silver.

What to expect during skin graft surgery.

The limb grafted is immobilized so that the movement of the skin does not interfere with survival and the affected limb is elevated.

Keep the dressing clean and dry.

The patient should not scratch the wound and the child's hands should be restrained.

If there is pus and blood under the skin, a small incision should be made for drainage, and no squeezing should be avoided; If the skin is necrotic, it should be removed promptly.

When you have a defect and the wound cannot heal on its own, and the doctor determines that skin grafting surgery is required, please cooperate with the following matters:

1. The day before skin grafting surgery:

1. Surgical consent form is required.

2. Wash the whole body cleanly, prepare the skin to be taken with soap or disinfectant, and shave the skin area if necessary.

3. If the operation is performed under general or half-body anesthesia, an enema is required at 9 p.m.

4. After 12 o'clock in the evening, fasting and water [those who are under local anesthesia can eat according to the doctor's instructions].

5. Practice the deep breathing and coughing methods taught by the nursing staff to prevent lung complications after surgery.

2. On the day of skin grafting surgery:

1. Continue fasting and water [except for those who undergo local anesthesia according to the doctor's instructions].

2. Remove body ornaments, removable dentures, prosthetic eyes, Kodan, etc.

3. Take off your underwear, change into a surgical gown, and wait for the notice from the operating room.

4. If necessary, it will be injected with a drip first.

5. When the staff of the operating room comes to pick you up, please empty your bladder first.

3. Post-care after skin grafting surgery

1. After the operation, there may be intravenous catheters [intravenous drip], urinary catheters, wound drainage tubes, etc., please pay attention to maintain good fixation and smooth tubing.

2. If the wound is painful or uncomfortable, please inform the medical staff at any time.

3. The affected limb can be raised with a pillow to avoid pressure on the skin graft site and maintain an appropriate fixation and support position.

4. There may be plaster fixation in the skin filling area, please do not remove it at will, and restrict activities.

5. If the skin patching area is in the lower limbs, bed rest is required, and no arbitrary bed activities can be taken, and gradual bed activities can only be adopted with the permission of the physician.

6. If the skin patching area is on the buttocks, you can take the prone position, and you need to pay attention to turning over.

7. Practice the deep breathing and coughing method according to the teaching, and use steam inhalation to help sputum discharge if necessary.

8. Nutritional supplements: Eat more high-calorie, high-protein diets, such as fish, meat, and eggs.

9. Smoking and drinking [including second-hand smoke] are absolutely prohibited.

10. Generally, the normal wound will survive one week after the collapse, but it is still necessary to continue to be fixed with elastic yarn or plaster, and limit activities for two to three weeks to ensure the healing of skin grafting.

11. For patients with chronic diseases or elderly patients, wound healing is slower and requires a longer period of fixation.

12. After the skin grafting wound is healed, it can be applied with emollient oil if it is dry.

13. Take the ** substitute dressing covered by the skin area, which will slowly fall off by itself after drying, and cannot be reluctantly torn off by itself, so as not to cause ** damage.

14. If you find abnormal swelling, pain and bleeding in the skin removal or skin repair area, please inform the medical staff immediately.

15. If you have any questions, please consult the medical staff at any time.

Hello dear, I'm glad to answer for you! 1. Different surgical methods: skin flap transplantation is generally a composite tissue transplantation, and the transplantation is usually with nerves; Skin grafting, on the other hand, is usually a simple skin graft.

2. Different indications: Generally, skin transfer is mostly suitable for the situation of exposed tendons, such as a composite tissue with muscles and bones; Skin grafting, on the other hand, is suitable for wounds with flesh, such as the epidermis. Flap transplantation is generally used for the repair of large areas of important tissue defects; Skin grafting, on the other hand, is used for the repair of surrounding granulation growth and good basal tissue**.

There is a certain difference between skin flap transplantation and skin grafting, if you cannot determine which one is suitable for your current condition, it is recommended to seek medical attention, and the doctor will make a comprehensive judgment based on the condition and the results of the examination, and it is recommended that the patient follow the doctor's opinion. During the ** period, the diet should be light, and too greasy foods such as fatty meat and animal offal should not be eaten temporarily.

There are some people who have skin grafting surgery due to irresistible factors, but there are some people who are worried that the cost of skin grafting surgery is high and they cannot afford it.

1.First: skin grafting surgery is a relatively common operation, and the specific cost depends on the hospital, because the collection and preparation fees of each hospital are different, and the general municipal hospital costs about 5,000 yuan.

2.Second: the first hospital of skin grafting surgery is different, in the tertiary hospital, plus inpatient surgery, anesthesia, etc., about 7,000 yuan, to choose whether to carry out surgery according to their own reality.

3.Third: the cost of hair transplantation in some hospitals is charged according to the hair follicle unit to carry the limb, the hair loss area is large, the number of hair follicles that need to be transplanted is large, and the cost of surgery is naturally more expensive, and the cost should be determined according to the degree of the disease.

Precautions. Although skin grafting surgery is more common in today's society, the cost of skin grafting surgery is still high, so whether to perform skin graft concealment surgery depends on your actual economic situation.

Skin grafting surgery is mainly used for scars left by various conditions such as burns and burns, and it is necessary to avoid contact with water to prevent infection after surgery, and water can generally be used after 1 month. It should be noted that the affected limb can be raised with a pillow to avoid pressure on the skin graft site and maintain an appropriate fixation and support position; There may be a plaster cast in the dermal patching area, do not remove it at will, and restrict movement; If the skin patching area is in the lower limbs, bed rest is required, and no arbitrary ambulation activities are allowed, and gradual ambulatory activities can only be adopted with the permission of the physician; Nutritional supplementation: Eat more high-calorie, high-protein diets, such as fish, meat, and eggs.

It is recommended that patients must choose a professional and regular hospital when performing skin graft surgery, and do a good job of corresponding nursing care after surgery.

There are two major drawbacks to traditional facial skin grafting surgery:

First of all, although the transplanted ** is extremely thin, the small blood vessels are often blocked, and the patient often needs to go through multiple painful surgeries;

Second, these batches of transplanted to the face** (including epidermis and part of the dermis) tend to bulge with wrinkles shortly after the "move". As a result, the patient cannot close his eyes, his eyes are dry, his mouth cannot be closed, and he drools all day long.

Skin grafting and skin flap grafting are more complex procedures in the scar. Hospitalization is usually required under general anesthesia. It usually takes a few weeks to months for the surgical area to recover, and you may need to wear an elastic bandage or brace for about 1 year after the surgery.

Flap transplantation is a bit more complicated, as it involves removing the donor area** and the fat, blood vessels, and muscles underneath it to cover the area where the scar has been removed (recipient area). Some flaps are still connected to the original vessel when transplanted to the recipient area; Some flaps need to cut the connection with the original blood vessels during surgery, and then anastomosis the blood vessels of the flap with the blood vessels in the receiving area under the microscope, which is microsurgery.

Flap skin grafting and flap grafting are more complex procedures in scarring. Hospitalization is usually required under general anesthesia. Chengdu Microscopic Hand and Foot Surgery Hospital is better at this aspect, you can try it.