Exposed Skin Grafting in Various Surgical Conditions

Abstract

Background: Adescriptive study was conducted at SIMS from December. 2002 to November 2005 to see
the results of exposed skin grafting in various surgical conditions.
Method: One hundred patients underwent exposed skin grafting. Most of the patients had surgical wound
after excision of carbuncle, diabetic foot debridement, due to trauma and due to burn these wounds are
dressed daily until they became clean, red granulation. We applied split thickness skin graft.
Results: In this study 56 were male and 44 were female with a median age 42.6 years in male and 43.3
years in females. Thirty five percent (35%) had surgical wound after excision of carbuncle. Twenty five
percent (25%) had surgical wound after debridement of diabetic foot and 25% had wound after trauma.
Eleven percent (11%) had wound after burn. In all these patient we performed delayed exposed grafting
and results are alright without any rejection. Early exposed skin grafting performed in 3% of cases after
release of contracture and after mastectomy in 1 male patient. One patient after mastectomy had partial
rejection.
Conclusion: Exposed skin grafting is a simple and cheap method and can be done in both delayed
granulating wound and early surgical wound.