PREPUCEAL SKIN GRAFTING - A MORE PRACTICAL AND EASILY AVAILABLE ALTERNATIVE TO CONVENTIONAL SKIN GRAFTING
Abstract
Abstract : AIM AND OBJECTIVES To
evaluate the usefulness of prepuceal
skin grafting for various raw areas due to
Diabetic ulcers, Venous ulcer, Scrotal
raw area after Fourniers gangrene debridement,
raw areas due to cellulitis debridement.
PATIENTS AND METHODS
This study was conducted at Government
Rajaji Hospital, Madurai, over a period
one year i.e., from May 2010 to April
2011. About 20 uncircumcised male patients
with raw areas due various cause
like Diabetic ulcers, Venous ulcers, raw
areas after cellulitis debridement and
Scrotal raw area after Fourniers gangrene
debridement were included in the
study.These patients were evaluated and
circumcision and grafting were done in
the same sitting. DATA COLLECTED
Data were collected regarding the age of
the patient , average size of the defect ,
mean size of the prepuceal skin for grafting
, graft survival on 5th and 7thpost operative
days, donor site morbidity, complications
at the donor and recipient site .
RESULTS The average ulcer area treated
was between 15-40cm2 . The size of the
donor graft harvested varied from 30-
50cm2. The graft take was 100 percent in
all 20cases on 7th postoperative day . All
the recipient areas healed completely in 2 -
3 weeks . There was no contracture at the
grafted site. Except for hyperpigmentation
no other complications were observed at
the recipient site.CONCLUSION Prepuceal
skin is natural human moiety that needs to
be preserved and used fruitfully. This prepuceal
skin grafting is more practical and
effective alternative to conventional skin
grafting.
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PDFReferences
American Academy of Pediatrics,
Committee on Fetus and Newborn,
Task Force onCircumcision. Circumcision
policy statement. Pediatrics.
; 103:656-93.
Gairdner D. The fate of the foreskin,
a study of circumcision. BMJ.
; ii: 1433-6
American Academy of Pediatrics.
Circumcision information for parents.
MedicalLibrary [http://
www.memem.com] 2001.
Dobyns JH, Wood VE, Bayne LG.
Congenital hand deformities. In:
Green, DP, editor. Operative hands
u r g e r y . 3 r d e d n . N e w
York:Churchill Livingstone,1993; p.
-Schreiter F, Noll F. Mesh graft
urethroplasty usingsplit thickness
skin graft orforeskin. J Urol. 1989;
:1223-6.680 S. Chittmittrapap,
P. Vejchapipat
Yildirim S, Akan M, Akoz T,
Tanoglu B. The preputium: an overlooked
skin graft donor site. Ann Plast
Surg.2001; 46:630-4.
Aslan G, Sarifakioglu N, Tuncali
D, Terzioglu A,Bingel F. The prepuce
and circumcision: dual application
as a graft. Ann Plast Surg. 2004;
:199-203.
Mak AS, Poon AM, Tung MK. Use
of preputial skinfor the release of
burn contractures in children.
Burns.1995; 21:301-2.
Oates SD, Gosain AK. Syndactyly repair
performed simultaneously with
circumcision: use of foreskin as a skingraft
donor site. J Pediatr Surg. 1997;
:1482-4.
Grabosch A, Weyer F, Gruhl L, Bruck
JC. Repair of the upper eyelid by means
ofthe prepuce after severe burns. Ann Plast
S u r g . 1 9 9 1 ; 2 6 : 4 2 7 - 3 0 .
Gordon A, Collin J. Save the normal
foreskin. Widespread confusion over what
the medical indications for circumcision are.
BMJ. 1993; 306:1-2.
Williams N, Chell J, Kapila L. Why are
children referred for circumcision? BMJ.
; 306:28.
Ratner, D., Skin grafting. From here to
there. Dermatol Clin, 1998. 16(1): p. 75-90.
Petruzzelli, G.J. and J.T. Johnson, Skin
grafts. Otolaryngol Clin North Am, 1994. 27
(1): p 25-37.
Fontenot, C., J. Ortenberg, and D.
Faust, Hypospadiac or intact foreskin graft
forsyndactyly repair. J Pediatr Surg, 1999.
(12): p. 1826-8.
Emory, R.E. and C.H. Chester, Prepuce
pollicization: a reminder of an alternate donor.
Plast Reconstr Surg, 2000. 105(6): p.
-1.
Mak, A.S., A.M. Poon, and M.K. Tung,
Use of preputial skin for the release of
burn contractures in children. Burns, 1995.
(4): p. 301-2.
Dogrul, A.B., et al., Preputial skin can
be used in all boys with burns requiring
grafting. Ulus Travma Acil Cerrahi Derg,
15(1): p. 58-61.
Chlihi, A., et al., [The use of preputial
skin as cutaneous graft after circumcision.
Report of 30clinical cases]. Ann Chir Plast
Esthet, 2002. 47(3): p. 214-8.
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