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KMID : 0853020150180010031
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Journal of Korean Burn Society
2015 Volume.18 No. 1 p.31 ~ p.34
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Management of the Accidental STSG Donor Site Injury - Case Reports -
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Hur Su-Won
Kim Tae-Gon
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Abstract
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When the split thickness skin graft (STSG) was harvested from the patient’s posterior thigh in supine position, an acci-dental donor site injury could occur by postural instability with the raised leg of patient. The idea of partial return of the har-vested graft to the donor site, spraying fibrin sealant and us-ing skin fragments have been individually introduced as the management of donor site injury created during harvest of the STSG. However, in our knowledge, there has been no at-tempt to combine the three ideas and apply to the accidental STSG donor site injury. We present the fragments regraft technique, with deliberately leaving some of harvested skin, cutting the remnant skin into small pieces, and immediately returning the skin fragments by spraying fibrin sealant on the damaged donor site wound. This method could be consid-ered as a treatment option to prevent delayed wound healing of STSG donor site injury, especially when elderly or debili-tated patients who are suspected of a delayed wound healing and poor-quality skin.
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KEYWORD
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Skin transplantation, Transplant donor site, Injury, Fibrin tissue adhesive
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