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Case Example Split Thickness Skin Graft  (STSG) with harvest technique, followup, and wound care

S/P "Moat" Procedure for lentigo maligna surrounding invasive melanoma

Moat Procedure: refers to circumferential clearance of margins by Mohs procedure to ensure adequate peripheral margins - like a "moat around castle"  (see references below re: margins for melanoma in situ and 'square' procedure).
see also: Case Example Lip Reconstruction Peri-alar Crescentic Advancement Flap

see videos at bottom of page
return to: Split Thickness Skin Graft  or Full thickness skin graft
see also: Skin Graft Donor Site Care   and     Zimmer Air Dermatome Instrument Tray

see video of harvest and care of donor site below

Click on image to enlarge; advance to next by clicking with cursor over mid right border:

Harvesting the skin graft from the thigh with dressing. Click video below to activate (with audio):

Assessment of skin graft donor site postop day 7 (Click video to activate)

Management of leakage postop day 7. Click video to activate (with audio)

 

References:

  1. Demirci H, Johnson TM, Frueh BR, Musch DC, Fullen DR, and Nelson CC: Management of periocular cutaneous melanoma with a staged excision technqiue and permanent sections - the square procedure. Opthalmology 2008 Dec;115(12):2295-2300
  2. Jejurikar SS, Borschel GH, Johnson TM, Lowe L and Brown DL: Immediate, optimal reconstruction of facial lentigo maligna and melanoma following total peripheral margin control. Plast Reconstr Surg. 2007 Oct;120(5):1249-55
  3. Kunishige JH, Brodland DG, and Zitelli JA: Surgical margins for melanoma in situ. J Am Acad Dermatol 2012 Mar;66(3):438-44
  4. Blum A:The moat technique. A two-step surgical technique for extensive basal cell carcinomas of the lip Der Hautarzt 2004 vol:55 iss:9 pg:869-873
  5. Hoffman HT and La Rouere M: A Simple bolster technique for skin grafting. Laryngoscope 1989 May;99(5):558-9 
 

 

 

 

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