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Split skin grafting on severely damaged skin. A technique using absorbable tissue adhesive
1Department of Dermatology, University Hospital, Queen's Medical Centre, Nottingham, United Kingdom.
Background:
Patients with severely damaged skin are more likely to develop skin malignancies. However, suturing following excision of tumors is difficult due to their fragile skin.
Objective:
To evaluate the effectiveness of a technique using butyl-2-cyanoacrylate tissue adhesive in split skin grafts in patients with severely damaged skin.
Method:
The technique was used in 19 patients with 24 skin tumors. Two patients also had multiple skin biopsies to assess the biodegradability of the adhesive.
Results:
Split skin grafts were applied successfully in all patients. The adhesive was completely absorbed without a foreign body reaction within 6 months.
Conclusion:
We recommend the use of butyl-2-cyanoacrylate in split skin grafting patients with severely damaged skin.
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