Application of covering donor site of split-thickness skin by razor-thin skin grafting

Objective: To evaluate covering donor site of split-thickness skin by razor-thin skin grafting.Methods: Datas of the 65 patients undergoing covering donor site of split-thickness skin by razor-thin skin grafting were studied.The most frequently used donor site of split-thickness skin was the inside skin of the thigh,39 cases;the next were the back skin and belly skin respectively,were 18 cases and 8 cases respectively;the site choice of razor-thin skin might at the abut site of the donor site of split-thickness skin,their area choice might equal;the split-thickness skin was covered by razor-thin skin,the donor site of skin was covered using petroleum jelly(vaseline)gauze.Results: The healing time of the injury area of donor site of split-thickness skin covered by grafted razor-thin skin was 10～12 d,mean 11.2 d,with satisfactory appearance and no conspicuous scar.The healing time of the donor site of razor-thin skin was 6～9 d,mean 7.2 d,the injured area was lustrous and bright red,which structure and function were close to the normal skin in general in 3 months.Conclusion: Covering donor site of skin of split-thickness skin by razor-thin skin grafting may reduce cicatrization,the surgical procedure is simple and feasible,which is an effective means to prevent the cicatrization for donor site of split-thickness skin.