Infusion tumescent technique combined with air dermatome is preponderant in harvesting scalp grafts

doi:10.3969/j.issn.2095-4344.2015.11.021

Abstract

Abstract:

BACKGROUND: Previously, a rolling dermatome was often used to take skin tissues from the head, which demands a higher experience for an operator. Lack of experience easily leads to too thick skin tissues and impact hair growth in patients, and harvested skin tissues have a jagged edge that influences the enough utilization of harvested skin tissues and donor site.

OBJECTIVE: To explore the clinical effects of air dermatome combined with infusion tumescent technique versus rolling dermatome combined with infusion tumescent technique to take the skin from the head.

METHODS: Clinical data from 37 patients with severe burn undergoing air dermatome combined with infusion tumescent technique (experimental group) and 38 patients with severe burn undergoing rolling dermatome combined with infusion tumescent technique (control group) were compared. Both of the two groups underwent razor-thin graft (skin thickness was about 0.3 mm). The time of harvesting skin grafts, skin size, whether the skin grafts had uniform thickness and clean edges, healing time of skin donor sites, and survival rate of skin grafts were statistically analyzed in the two groups.

RESULTS AND CONCLUSION: Infusion tumescent technique made the operation easy. Intraoperative and postoperative bleeding was significantly reduced. The mean time for harvesting skin grafts was 7.9 minutes in the experimental group, which was 3 minutes shorter than that in the control group (P < 0.05). In the experimental group, the skin grafts were larger with clean edges and uniform thickness, and the maximum graft was 12 cm×5 cm in size; all the donor sites were primarily healed, and the average healing time was 5.5 days, which was 2.2 days shorter than that in the control group (P < 0.05). All the donor sites in the two groups were primarily healed with no scalp infection, small scars or hair loss. Results from this study show that the air dermatome combined with infusion tumescent technique is a simple and effective method for harvesting skin grafts from the head and it has the remarkable superiority and important clinical value in extremely severe burn patients.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

全文链接：

Key words: Burns, Scalp, Transplantation

CLC Number:

R318

Lian Hui-bin, Huang Jin-hua, Li Ping-song, Xu Gang, Liu Yi-feng, Zhou Jie, Luo Yi, Liu Sen, Zhou Rong-fang. Infusion tumescent technique combined with air dermatome is preponderant in harvesting scalp grafts[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(11): 1750-1754.

Figures/Tables 4

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