Debridement Procedure with Skin Grafting

What is a skin graft?

A skin graft involves removing a thin layer of skin from an area of the body, such as the thigh or buttocks, and placing it over a new bed of healthy tissue under a burn. This skin then adheres to the wound. The area where the skin is taken from is called the donor site. The location and size of the graft determines how it will be secured, for example with staples, stitches or surgical glue.

What is debridement?

Debridement is a procedure that is used to remove the dead skin (or eschar) from the burn area. It can be done by surgical, chemical, mechanical, or autolytic (using your body’s own processes) removal of the tissue.Surgical debridement may be necessary if non-viable tissue is present in a wound; if orally treated osteomyelitis remains unresolved; or if a sinus tract prevents complete wound closure. This is a case of extensive debridement with skin grafting. A female paitient reported at Chandan Hospital, Lucknow complaining about the occurrence of pleural and pericardial effusion with necrotic patches over the right upper limb and swelling over breast.

Case Study:

A female patient was admitted at Chandan Hospital, in a state of shock. She had the chief complaint of pleural and pericardial effusion. (In pleural effusion is the build-up of excess fluid between the layers of the pleura outside the lungs.In pericardial effusions, both lungs are compressed towards the back of the chest.) The patient also had necrotic patches over the right upper limb and swelling over breast. She was given extensive treatment of debridement with skin grafting.

The patient was taken care of by Dr. Shree Harsh and underwent initial treatment. During this process, Vacuum Assisted Closure (VAC) was applied and Skin Grafting was done over the right upper limb. She improved significantly both subjectively and objectively and returned to her usual activities.


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