Related Experiment Video
Updated: Feb 3, 2026
12:13
Ex Situ Normothermic Machine Perfusion of Donor Livers
Published on: May 26, 2015
12.2K
Preputial Grafts: The Forgotten Donor Site.
Richard J Ehrlichman1, Daniel N Driscoll, Kristine Cornejo
1From the Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA.
Annals of Plastic Surgery
|November 2, 2018
Summary
Preputial skin offers a versatile donor site for skin grafts in children, proving effective for congenital syndactyly and burn contractures with minimal complications. This hairless skin provides excellent mobility and elasticity for reconstructive surgery.
Area of Science:
- Plastic Surgery
- Regenerative Medicine
- Pediatric Surgery
Background:
- The prepuce is identified as a superior donor site for skin grafts.
- It offers minimal donor site morbidity, making it suitable for various reconstructive procedures.
- Full-thickness grafts are often necessary for conditions like congenital syndactyly and burn contractures.
Purpose of the Study:
- To evaluate the efficacy and outcomes of using preputial skin grafts in pediatric patients.
- To assess the suitability of preputial skin for correcting congenital syndactyly and burn contractures.
Main Methods:
- Preputial skin grafts were utilized in 18 pediatric patients.
- The cohort included 5 children with burn contractures and 13 with congenital syndactyly.
Main Results:
- Excellent graft take was achieved with proper postoperative care.
- Postoperative findings included occasional milia (42%) and hyperpigmentation.
- Grafts demonstrated superior mobility and elasticity, with no reported donor site morbidity.
Conclusions:
- Preputial skin is an accessible, easily harvested, and hairless donor site with minimal morbidity.
- Its properties, particularly elasticity, make it well-suited for grafts on hands and fingers.
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