Hemostatic Net in Non-meshed Split-thickness Grafts Enhances Graft Integration and Healing

Skin grafts are essential in reconstructive surgery, although complications such as hematomas, seromas, infections, and shear forces can compromise their success. This study evaluated the effectiveness of a hemostatic net fixation technique to improve graft integration and reduce complications. Fifteen patients treated with non-meshed split-thickness grafts fixed using continuous sutures forming a hemostatic net were compared to meshed grafts fixed with staples or sutures along the edges (traditional technique). Both treatments were applied to split wound areas in the same patient. Six months of follow-up, assessing graft integration, aesthetic appearance, and complications, were reported. No patients experienced hematomas, seromas, or infections, and all grafts integrated successfully. Additionally, a blinded panel of plastic surgeons rated the aesthetic appearance of the two techniques. The aesthetic appearance was evaluated with higher scores in the grafts fixed with a hemostatic net. In conclusion, the fixation of skin grafts using a hemostatic net improves integration and aesthetic outcomes while minimizing complications such as hematoma or seroma. Further studies with more surgical areas are needed to confirm these benefits. The technique could represent a significant advancement in reconstructive and aesthetic surgery, optimizing clinical and cosmetic outcomes.