Search the Protocols

List of Donors

Make a donation to the protocols online

KLS Martin, LP

Hemostatix Medical Technologies, LLC

Boston Medical Products Inc.


Jon and Veda Foster


Synovis Micro Companies Alliance, Inc

Tom Benda, JR., M.D.

The Potash Family

UIHC Melanoma and Sarcoma Tissue Bank

Karl Storz-Endoskope

Heartland Regional Chapter of SOHN

The Department of Otolaryngology and the University of Iowa wish to acknowledge the support of those who share our goal in improving the care of patients we serve. The University of Iowa appreciates that supporting benefactors recognize the University of Iowa's need for autonomy in the development of the content of the Iowa Head and Neck Protocols.

HaN Admin Pages

You are being sent to:
Skip to end of metadata
Go to start of metadata




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):

Loading the player ...

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

Loading the player ...

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

Loading the player ...



  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 




  • No labels