Tuesday, March 13, 2012

BURNS 17



 SKIN GRAFT TECHNIQUE
Grafts are usually taken with a Blair or a Humby knife from the
limbs.
* An electric dermatome is used when a large amount of skin
is required.
A Padget's dermatome is most helpful for
obtaining skin from the abdomen.
* Full aseptic precautions are taken
. The donor parts are cleaned and drapped in sterile towels, and after taking the
  grafts, the parts are bandaged in an occlusive dressing
  before the burnt areas are exposed.
* The grafts are laid on tulle gauze raw surface up and cut
   into decent sized pieces.
* These are laid on the recepient area after it has been
   cleaned. Edge to edge covering is done and another layer
   of tulle gauze applied.
* The whole area is bandaged in an occlusive dressing given to
   hands, joints of the limbs, face and neck.
   Dressing is removed in seven days and the residual areas are grafted as
   soon as more skin is available.
 
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