DEPTH OF THE GRAFT BED INFLUENCES SPLIT-SKIN GRAFT
CONTRACTION
Menšík I.1, Lamme E. N.2, Brychta P.1
1Department of Burns and Reconstructive Surgery, University Hospital Brno, Czech Republic 2IsoTis N. V., Bilthoven, The Netherlands |
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Souhrn:
Contraction of a split-thickness skin graft used for coverage of large defects remains a great problem in plastic,
burn and reconstructive surgery. In this study we evaluated healing of split-thickness skin grafts transplanted in
wounds on the subcutaneous fat and muscle fascia in pigs. Four young domestic female pigs were included in
the study, and the contraction was measured planimetrically during a 3-months´ follow-up. At the end of the study
the scar tissue was histologically assessed. From day 42 till the end of the study grafts transplanted on the muscle
fascia were significantly more contracted than grafts on the subcutaneous fat without (p< 0.001) and with (p<
0.005, unpaired t-test) correction for the growth of the animal. The histological assessment showed that after 3
months the regenerated dermal tissue in the muscle fascia wounds was thicker, and less remodeled (higher tissue
cellularity and thinner collagen bundles).
In conclusion, in pigs, split-thickness skin grafts transplanted into deeper wounds contract more, and scar tissue
maturation seems to last longer.
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