Related Experiment Video
Updated: Jun 17, 2026

Tissue Characterization after a New Disaggregation Method for Skin Micro-Grafts Generation
Published on: March 4, 2016
Utilization of Autologous Skin Shave Micrografting for Treatment of Advanced Stage Pressure Injuries: A Seven-Patient
1Clinical Associate Professor, Edward Via College of Osteopathic Medicine Carolinas, Adjunct Assistant Professor, Department of Surgery, University of North Carolina at Chapel Hill, Chief, Wound Care Department, Charles George VAMC, Asheville, NC.
Objective:
The authors present an autologous skin shave micrografting (ASSM) technique for treating stage 3 to 4 pressure injuries (PI).
Methods:
Between 2024 and 2025, 7 patients with stage 3 and 4 PIs were treated using skin micrografting.
Results:
Seven patients with 10 PIs (3 stage 3 and 7 stage 4) underwent ASSM. The average PI size was 7.2 cm2. The average depth was 0.3 cm. The average donor site measured 1.5 cm2. All patients demonstrated complete healing within 4 months. Five of 7 patients remained recurrence-free during a 9-month follow-up period, and only 1 out of 10 PIs was open at 9 months.
Conclusions:
ASSM is a promising modality for the treatment of select PIs and may be considered as part of the reconstructive ladder for advanced pressure injuries. JOURNAL/aswca/04.03/00129334-202607000-00004/figure1/v/2026-06-13T090907Z/r/image-jpeg.
Purpose:
To increase knowledge of the application of the autologous skin shave micrografting (ASSM) technique for the management of advanced-stage pressure injuries (PI).
Target Audience:
This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care.
Learning Objectives/Outcomes:
After participating in this educational activity, the participant will:Evaluate patient-specific factors to select optimal treatment strategies for managing PI.Apply the techniques and procedural steps of ASSM for the treatment of advanced-stage PIs.Explain the underlying pathophysiologic mechanisms by which ASSM promotes healing in advanced-stage PIs.
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