OR / Prep · Plastic & Reconstructive Surgery · open
You’re scrubbing into
Split-thickness skin graft
Why are we operating?
Borrowing the top layers of skin from a healthy site to resurface a wound that cannot close itself; the graft survives on the bed it lands on, which is the whole art.
Indication: Burns after excision, large wounds with a healthy granulating bed, donor coverage after flap harvest.
The operation in 4 steps
01Preparing the recipient bed
02Harvesting the graft
03Meshing and application
04Dressing and immobilisation
Watch it done
Split-thickness skin graft
Harvest with the dermatome, meshing and fixing the graft, and the donor site.
Source: Children's Hospital Colorado · Watch on YouTube
Conceptual teaching for learners preparing to observe and assist under supervision, not operative instructions. Five minutes from now you should know why this operation exists, what its shape is, and which structures it is designed not to injure.