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Clinics in Podiatric Medicine and... Oct 2020Management of extensive lower extremity soft tissue and skin loss can be a very difficult to achieve by any surgeon. There can be several associated comorbidities that... (Review)
Review
Management of extensive lower extremity soft tissue and skin loss can be a very difficult to achieve by any surgeon. There can be several associated comorbidities that need to be considered and addressed with these patients. The approach is multifactorial and requires commitment from both the surgeon as well as the patient. There are several protocols that have been formulated throughout the literature addressing soft tissue and skin coverage of the limbs. This article provides a review of the literature and describes the evaluation, harvesting, transplantation, and management of skin grafting techniques to the lower extremities.
Topics: Allografts; Autografts; Heterografts; Humans; Lower Extremity; Preoperative Care; Skin; Skin Transplantation; Skin, Artificial; Tissue Engineering; Tissue and Organ Harvesting; Transplant Donor Site
PubMed: 32919607
DOI: 10.1016/j.cpm.2020.07.007 -
International Wound Journal Sep 2016Autologous skin grafts, such as full- and split-thickness, have long been part of the reconstructive ladder as an option to close skin defects. Although they are... (Review)
Review
Autologous skin grafts, such as full- and split-thickness, have long been part of the reconstructive ladder as an option to close skin defects. Although they are effective in providing coverage, they require the need for a trained surgeon, use of anaesthesia and operating room and creation of a wound at the donor site. These drawbacks can be overcome with the use of epidermal skin grafts (ESGs), which can be harvested without the use of anaesthesia in an office setting and with minimal to no scarring at the donor site. ESGs consist only of the epidermal layer and have emerged as an appealing alternative to other autologous grafts for the treatment of acute and chronic wounds. In this article, we provide an overview of epidermal grafting and its role in wound management.
Topics: Autografts; Epidermis; Humans; Plastic Surgery Procedures; Skin Transplantation; Wound Healing; Wounds and Injuries
PubMed: 27547964
DOI: 10.1111/iwj.12631 -
The Veterinary Clinics of North... Mar 2022Wound healing is a complex process that traverses 4 main phases which overlap and are interdependent. Many patient-related factors can impede healing by disrupting the... (Review)
Review
Wound healing is a complex process that traverses 4 main phases which overlap and are interdependent. Many patient-related factors can impede healing by disrupting the normal pathways from one phase to the next. Wound-related factors also determine the best techniques or dressings for each patient. Species differences between cats and dogs must be understood for the successful treatment of cats. New techniques such as fish skin graft application, photobiomodulation, and bioelectric dressings hold promise as an addition to our armamentarium against wounds. NPWT, hyperbaric oxygen, regenerative medicine techniques, and low-level laser therapies yield mixed results and large-scale controlled studies are needed.
Topics: Animals; Bandages; Cats; Dogs; Skin Transplantation; Wound Healing
PubMed: 35082098
DOI: 10.1016/j.cvsm.2021.12.001 -
Science (New York, N.Y.) Nov 2014The ability of the skin to repair itself after injury is vital to human survival and is disrupted in a spectrum of disorders. The process of cutaneous wound healing is... (Review)
Review
The ability of the skin to repair itself after injury is vital to human survival and is disrupted in a spectrum of disorders. The process of cutaneous wound healing is complex, requiring a coordinated response by immune cells, hematopoietic cells, and resident cells of the skin. We review the classic paradigms of wound healing and evaluate how recent discoveries have enriched our understanding of this process. We evaluate current and experimental approaches to treating cutaneous wounds, with an emphasis on cell-based therapies and skin transplantation.
Topics: Genetic Engineering; Humans; Skin; Skin Transplantation; Skin, Artificial; Stem Cells; Tissue Engineering; Wound Healing; Wounds and Injuries
PubMed: 25414301
DOI: 10.1126/science.1253836 -
Facial Plastic Surgery Clinics of North... May 2020Hair transplant is a powerful and reliable procedure that provides a natural and high-impact result. This procedure can be used to restore scalp hair, eyebrow hair,... (Review)
Review
Hair transplant is a powerful and reliable procedure that provides a natural and high-impact result. This procedure can be used to restore scalp hair, eyebrow hair, beard hair, body hair, or areas of hair loss due to scarring. The hair transplant techniques of the past (hair plugs, scalp reductions) have etched a negative impression of hair restoration surgery in the public memory. With the improved techniques of follicular unit transplantation, more natural and discreet results can be obtained with minimal downtime and preservation of patient privacy. This article focuses on follicular unit transplantation and performance of the strip technique.
Topics: Alopecia; Hair Follicle; Humans; Patient Selection; Skin Transplantation; Tissue and Organ Harvesting; Transplant Donor Site; Transplantation, Autologous
PubMed: 32312502
DOI: 10.1016/j.fsc.2020.01.005 -
Facial Plastic Surgery Clinics of North... May 2020In the field of hair restoration, there has been a significant increase in demand with patients for facial hair transplantation procedures. Modern techniques in hair... (Review)
Review
In the field of hair restoration, there has been a significant increase in demand with patients for facial hair transplantation procedures. Modern techniques in hair transplantation allow for facial hair transplantation and for the attainment of natural-appearing results. Facial hair transplantation is a subspecialty within hair restoration with many gratifying benefits for the patients as well as for the hair restoration surgeon. Adapting these advanced techniques into a hair restoration practice allows a surgeon to offer their patients these procedures and provides an expanded artistic element to a hair restoration surgeon's practice.
Topics: Alopecia; Face; Female; Hair; Hair Follicle; Humans; Male; Patient Care Planning; Patient Selection; Postoperative Care; Preoperative Care; Skin Transplantation; Transplantation, Autologous
PubMed: 32312510
DOI: 10.1016/j.fsc.2020.01.010 -
International Journal of Environmental... Apr 2022Vitiligo is described as a dermatological condition characterized by pigmentation disorders in both the skin and mucous membranes. Clinically, this disease is... (Review)
Review
Vitiligo is described as a dermatological condition characterized by pigmentation disorders in both the skin and mucous membranes. Clinically, this disease is characterized by the presence of well-defined white areas of various shapes and sizes, which are a manifestation of a reduced number of melanocytes. Due to the fact that vitiligo can be a significant cosmetic problem for patients, a number of methods are currently available to help fight for a better skin appearance. If all the available non-invasive procedures turn out to be ineffective, surgery can help, which is a very good alternative in the case of difficult-to-treat but stable changes. Both the development of new techniques and modifications to the already available treatment of cell and tissue transplantation give hope to numerous patients around the world. The effectiveness of a particular method is determined by its appropriate selection depending on the lesions undergoing therapy. Each form of surgical intervention has its advantages and disadvantages, which, along with the location or size of the treated hypopigmentation area, should be analyzed by a doctor and discussed with their patient. This article is an overview of the currently available methods of surgical treatment of vitiligo and a comparison of their pros and cons.
Topics: Humans; Melanocytes; Skin; Skin Transplantation; Treatment Outcome; Vitiligo
PubMed: 35457678
DOI: 10.3390/ijerph19084812 -
Tidsskrift For Den Norske Laegeforening... May 2022Skin grafting involves covering an area of missing skin with healthy skin tissue harvested from another part of the body. The aim of this clinical overview is to give a...
Skin grafting involves covering an area of missing skin with healthy skin tissue harvested from another part of the body. The aim of this clinical overview is to give a short introduction to the procedure.
Topics: Humans; Skin; Skin Transplantation; Wound Healing
PubMed: 35635412
DOI: 10.4045/tidsskr.21.0671 -
The Veterinary Clinics of North... Nov 2017Skin grafts and free skin flaps are useful options for closure of wounds in which primary closure or use of traditional skin flaps is not feasible. Grafts are classified... (Review)
Review
Skin grafts and free skin flaps are useful options for closure of wounds in which primary closure or use of traditional skin flaps is not feasible. Grafts are classified by their morphology and host-donor relationship. Free skin flaps with microvascular anastomoses are developed from previously described axial pattern flaps and have the added advantage of reestablishing robust vascular supply to the flap, but require specialized equipment and a high degree of technical expertise. Despite intensive perioperative care and the risk of graft or flap failure, skin grafts and free skin flaps can serve as rewarding methods of closing difficult wounds.
Topics: Animals; Microcirculation; Postoperative Complications; Skin; Skin Transplantation; Surgical Flaps; Wound Healing
PubMed: 28802984
DOI: 10.1016/j.cvsm.2017.06.009 -
AORN Journal Feb 2022
Topics: Scalp; Skin Transplantation
PubMed: 35084756
DOI: 10.1002/aorn.13620