J Korean Burn Soc.  2015 Jun;18(1):31-34. 10.0000/jkbs.2015.18.1.31.

Management of the Accidental STSG Donor Site Injury: Case Reports

• Hur SW
• Kim TG

• KMID: 2117485
• DOI: http://doi.org/10.0000/jkbs.2015.18.1.31

Abstract

When the split thickness skin graft (STSG) was harvested from the patient's posterior thigh in supine position, an accidental donor site injury could occur by postural instability with the raised leg of patient. The idea of partial return of the harvested graft to the donor site, spraying fibrin sealant and using 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 attempt 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 considered as a treatment option to prevent delayed wound healing of STSG donor site injury, especially when elderly or debilitated patients who are suspected of a delayed wound healing and poor-quality skin.

Keyword

Skin transplantation; Transplant donor site; Injury; Fibrin tissue adhesive

MeSH Terms

Aged
Fibrin Tissue Adhesive
Humans
Leg
Skin
Skin Transplantation
Supine Position
Thigh
Tissue Donors*
Transplant Donor Site
Transplants
Wound Healing
Wounds and Injuries
Fibrin Tissue Adhesive