Skin graft is one of the most indispensable techniques in surgery and are used in a variety of clinical situations, such as traumatic wounds, defects after oncologic resection or burn reconstruction. Skin grafts are generally classified as split-thickness or full-thickness grafts. When a graft includes only a portion of the dermis, it is called a split-thickness skin graft. When a graft contains the entire dermis, it is called a full-thickness skin graft. Split-thickness skin grafts are further classified into mesh skin grafts, stamp skin grafts, and chip skin grafts, based on their shape.
With consideration of aesthetic results, the donor site should be similar to the recipient site in terms of consistency, thickness, color, and texture. To cover a breast defect, in which maximum care must be taken, full-thickness skin grafts are often needed. Common donor site for full-thickness skin grafts of the breast include the abdominal region by its similarity to the mammary skin and because the donor site can be primarily sutured. Also, the scar of the donor site can be hidden in the under wear.
Next video shows, step by step, the use of a skin graft to cover a skin necrosis in a woman with breast reconstruction. Prior to surgery, a VAC system was used to improve local conditions in the recipient site.