Split thickness skin graft removal from free flaps: indications and technique

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Dermatology

Background:

• Split skin grafting (SSG) is a common method for skin defect reconstruction.
• Donor site pain is a significant postoperative complication of SSG, often proportional to the harvested area.
• Existing methods may lead to distressing patient experiences due to pain and scarring.

Purpose of the Study:

• To introduce and evaluate the "bowtie scar" technique for skin defect reconstruction.
• To assess the efficiency and benefits of combining SSG with a gracilis-free flap.
• To improve patient outcomes by minimizing donor site pain and scarring.

Main Methods:

• A novel surgical technique, the "bowtie scar" method, was developed.
• This technique involves harvesting split skin grafts concurrently with a gracilis-free flap.
• The method focuses on optimizing donor tissue utilization and wound healing.

Main Results:

• The "bowtie scar" method demonstrated efficient and economical use of donor tissue.
• The technique facilitates rapid healing at the donor site.
• Patients experienced minimal scarring and improved cosmetic results post-procedure.

Conclusions:

• The "bowtie scar" technique offers an effective approach to skin defect reconstruction.
• This innovative method enhances donor tissue management in plastic surgery.
• The technique provides significant benefits including reduced pain, faster healing, and superior cosmesis.