University:
Swansea University
Course:
PM-139 | Human Physiology 1
Academic year:

2023
Views:

461

Pages:

4
Author:

Amal J.

PLASTIC SUR GERYIntroduced in early mineteethcentuary.17plastic surgery describes thetechniques of moulding tissue.at includes reconstructionfollowing trauma onesion. ofdecreased tissue or correction ofcongenital deformity. use and management ot. skingrafts and Haps:skin grafts :skin graft consist of sliceso f skin removal from one partof the body [the donor area] andapplied to a crow surfave inanother part [the recipi ent site]use -Indication :Any part of the body inwhere there has been damage by burnslocerated wounds uleration pressuresores.A graft is used only when therecipient site is vascular (ii) insoft tissue injuries.Types :-splint skin grafts andFull thickness I walteJ grafts.splist skin graftsIt consist of very their layors ofwithepidermis or) a thickner layer up towhole epidermis and a part dermisTransfered without blood supply. most common donor sitevolar aspect of the thigh andthe medical aspect of the upperarm.Application:Applied to the recipient alte unstrips or large sheetsmeshingIf the recipient site is large&thesplit is smaller the skin be : meshed toincrease the area of coverage.Graft is passed through an instrumentto get even mesh work.storingAny skin that has been cut in ercessof requirements can be stored at arictemperature and remains viable forglateral use for up to 21 days.The graft is corapped insulingmastened gauze and placed in aSteride closed container with in theres ari gerator.the recipient site :split skin graft appitied torow surface granulating wounds. frea must be as flat aspossible and bleeding stopped.The graft is cut to size andapplied row surface down. It maybe sutured stapled or geued inplace petroleum jelly gausze andcrepe bandages are applied.concave recipient surfacepressure dressing cor) a tie overdressingsutures applied to the edge ofgraft are lest long enough to bethe over the top of the cotton down woaltied holding the graftp° dressingI on the bed.Nutrition :the 1st 48 hrs nutrition isreceived For tro m the free tissue fluid ofthe recipient site. capillaries grow into the graft and vascularisation isgenerally established after E 48 hrs.critical time because movement ofthe grast destroy S the capiclary badsand the graft does not take