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1

Ford, Troy S., J. Schumacher, Gordon W. Brumbaugh, and Clifford M. Honnas. "Effects of split-thickness and full-thickness skin grafts on secondary graft contraction in horses." American Journal of Veterinary Research 53, no. 9 (1992): 1572–74. http://dx.doi.org/10.2460/ajvr.1992.53.09.1572.

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SUMMARY Full-thickness, circular (4-cm diameter) cutaneous wounds were created on the metacarpi and metatarsi of 6 horses. Immediately after wounding, 1 wound on each horse received a meshed, split-thickness skin graft (0.64 mm) obtained from the ventrolateral aspect of the horse's thorax by use of a pneumatic dermatome, whereas a second wound received a meshed, full-thickness skin graft obtained from the pectoral area. In addition, sections of split-thickness and full-thickness grafts were refrigerated in a solution of McCoy's 5A medium, to which equine serum (10%) and gentamicin sulfate solu
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2

Reiss, Matthew J., and Naiwei Hsu Chang. "722 Factors Affecting Split Thickness Skin Graft Loss in Elderly Burn Patients." Journal of Burn Care & Research 45, Supplement_1 (2024): 208. http://dx.doi.org/10.1093/jbcr/irae036.265.

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Abstract Introduction Advanced age is one of the more established predictors of morbidity and mortality in patients with burn injuries. It is predicted that by 2030, the number of people 65 years or older may double. This demographic shift may lead to a concomitant increase in burn injuries. The elderly population is at higher risk for burn injuries due to physiological changes that includes impairment of cognition, coordination, vision, mobility and deterioration of reflexes which may lead to decreased responses in dangerous situations. Other factors that may impair the healing process can in
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3

Jalili, Reza B., Amir Pourghadiri, Yunyuan Li, Chantell Cleversey, Ruhangiz T. Kilani, and Aziz Ghahary. "Split Thickness Grafts Grow From Bottom Up in Large Skin Injuries." Journal of Burn Care & Research 40, no. 6 (2019): 727–33. http://dx.doi.org/10.1093/jbcr/irz123.

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Abstract Autologous split thickness skin graft is necessary for the survival of patients with large burns and skin defects. It is not clear how a thin split thickness skin graft becomes remarkably thicker within a few weeks following transplantation. Here, we hypothesized that growth of split thickness graft should be from bottom up probably through conversion of immune cells into collagen producing skin cells. We tested this hypothesis in a preclinical porcine model by grafting split thickness meshed skin (0.508 mm thickness, meshed at 3:1 ratio) on full thickness wounds in pigs. New tissue f
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4

Manish, Bariya, Kishori Gunjan, Parmar Akshay, and Sidhpuriya Radha. "Comparative Study between Use of Sutures Versus Cyanoacrylate Tissue Adhesive for Split Thickness Skin Graft Fixation." International Journal of Pharmaceutical and Clinical Research 15, no. 4 (2023): 289–97. https://doi.org/10.5281/zenodo.12659267.

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<strong>Introduction:&nbsp;</strong>&nbsp;Split-thickness grafts, in which the epidermis and a part of the dermis are virtually taken, are one of two forms of skin transplants. The second type of graft involves harvesting the complete dermis and epidermis for full-thickness grafts. Cyanoacrylate (CA) adhesive usage has grown significantly in recent years. In the presence of moisture, liquids called CAs polymerase create adhesives. Split skin graft fixation has been accomplished using a variety of methods and supplies. Each has advantages and disadvantages. An investigation compared the efficac
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Oliver, Mary A., Bonnie C. Carney, John W. Keyloun, Lesle M. Jimenez, Lauren T. Moffatt, and Jeffrey W. Shupp. "20 Autologous Meshed Split Thickness Graft Healing in Interstice versus Grafted Sites: A Histological Characterization." Journal of Burn Care & Research 43, Supplement_1 (2022): S16—S17. http://dx.doi.org/10.1093/jbcr/irac012.024.

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Abstract Introduction Autologous skin grafting is a common technique used in the treatment of full thickness (FT) wounds to aid in healing, wound closure, and reducing the likelihood of developing hypertrophic scarring. Meshed split thickness skin grafts (mSTSG) which contain portions of the dermis and epidermis are the gold standard for the treatment of FT wounds because they allow for expansion of skin taken from a relatively small donor site. It has largely been hypothesized that in mSTSG skin progenitor cells migrate from the edges of healthy donor tissue to aid in healing the interstices
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6

Boonjindasup, Aaron, Michael Pinsky, Carrie Stewart, et al. "Management of adult concealed penis using a meshed, split-thickness skin graft." Canadian Urological Association Journal 10, no. 11-12 (2016): 407. http://dx.doi.org/10.5489/cuaj.3787.

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Introduction: Concealed penis (CP) is a rare problem faced by urologists and plastic surgeons. CP occurs secondary to trauma, obesity, or infection. Surgical treatment is individualized and based on patient and provider variables. We aim to review our recent experience using meshed split-thickness skin grafting (STSG) for CP management.Methods: A retrospective review was performed on patients who underwent STSG for CP at our institution. Records were reviewed for demographic, operative, and postoperative variables. Preoperative and postoperative photos were obtained to monitor cosmetic results
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7

Lumen, N., P. Houtmeyers, S. Monstrey, A. F. Spinoit, W. Oosterlinck, and P. Hoebeke. "Revision of Perineal Urethrostomy Using a Meshed Split-Thickness Skin Graft." Case Reports in Nephrology and Dialysis 4, no. 1 (2014): 12–17. http://dx.doi.org/10.1159/000358556.

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8

Fifer, Theodore D., David Pieper, and David Hawtof. "Contraction Rates of Meshed, Nonexpanded Split-Thickness Skin Grafts Versus Split-Thickness Sheet Grafts." Annals of Plastic Surgery 31, no. 2 (1993): 162–63. http://dx.doi.org/10.1097/00000637-199308000-00015.

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9

Inatomi, Yusuke, Hideki Kadota, Kenichi Kamizono, Masuo Hanada, and Sei Yoshida. "Securing split-thickness skin grafts using negative-pressure wound therapy without suture fixation." Journal of Wound Care 28, Sup8 (2019): S16—S21. http://dx.doi.org/10.12968/jowc.2019.28.sup8.s16.

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Objective: Negative-pressure wound therapy (NPWT) is generally applied as a bolster for split-thickness skin grafts (STSG) after the graft has been secured with sutures or skin staples. In this study, NPWT was applied to secure STSGs without any sutures or staples. Surgical outcomes of using NPWT without sutures was compared with a control group. Methods: Patients with STSGs were divided into two groups: a ‘no suture’ group using only NPWT, and a control group using conventional fixings. In the no suture group, the grafts were covered with meshed wound dressing and ointment. The NPWT foam was
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10

Lee, Dong-Hun, and Yu-Jin Kim. "Negative Pressure Wound Therapy Applied to a Meshed Split-Thickness Skin Graft." Journal of Korean Society for Microsurgery 25, no. 2 (2016): 29–36. http://dx.doi.org/10.15596/arms.2016.25.2.29.

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11

Olivi, Joe, and Megan Rodgers. "727 Use of a Biodegradable Dermal Matrix in Conjunction with Meshed and Sprayed Autologous Cell Suspension with a Vacuum Assisted Dressing Achieved Limb Salvage in a 73 Year Old with Deep Full Thickness Burns Despite Exposed Tendon and Bone." Journal of Burn Care & Research 41, Supplement_1 (2020): S195. http://dx.doi.org/10.1093/jbcr/iraa024.311.

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Abstract Introduction Deep Full thickness burns require tangential excision of the burned tissues down to viable tissue. This often leaves exposed muscle, tendon and bone. Coverage of these areas is vital to limb salvage. Multiple modalities are necessary with these type of patients, such as, dermal matrix graft, split thickness skin graft, sprayed autologous cell suspension (ACS) and wound vacuum therapy(VAC). A dermal matrix provides a scaffold for tissue and vascular en growth that is suitable for accepting a skin graft and also provides a layer between the muscle, tendon, bone and the skin
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Olivi, Joe A., and Megan D. Rodgers. "638 Biodegradable Temporizing Matrix in Combination with Wide Meshed Graft and Autologous Spray Cell Suspension (ASCS) Graft Can be Used for Reconstruction of Extensive Necrotizing Infections: A Case Report." Journal of Burn Care & Research 42, Supplement_1 (2021): S175. http://dx.doi.org/10.1093/jbcr/irab032.288.

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Abstract Introduction Background: A necrotizing infection of the left upper extremity underwent extensive debridement with remaining exposed muscle, tendon, and bone. BTM was used to provide an acceptable temporizing matrix in conjunction with wide meshed split thickness skin graft (STSG) 3:1 ratio and ASCS graft for successful reconstruction. This left a functional limb and avoided arm forequarter amputation. Methods Case Presentation: We present a 67 y/o male with necrotizing infection who underwent extensive surgical debridement of skin and subcutaneous tissues of the left hand, forearm, an
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13

Putland, Michael, Charles F. T. Snelling, Ian Macdonald, and Victor A. Tron. "Histologic Comparison of Cultured Epithelial Autograft and Meshed Expanded Split-thickness Skin Graft." Journal of Burn Care & Rehabilitation 16, no. 6 (1995): 627–40. http://dx.doi.org/10.1097/00004630-199511000-00013.

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14

Newman, William T., Harvey Slater, I. William Goldfarb, and Pedro Hernandez. "Neomycin Sulfate Dressing for Meshed Split-Thickness Skin Grafts." Journal of Burn Care & Rehabilitation 8, no. 1 (1987): 23–24. http://dx.doi.org/10.1097/00004630-198701000-00005.

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15

Tamez, Oscar A., Howard S. Mcguff, Thomas J. Prihoda, and Randal A. Otto. "Securing meshed split-thickness skin grafts with 2-octylcyanoacrylate." Otolaryngology–Head and Neck Surgery 121, no. 5 (1999): 562–66. http://dx.doi.org/10.1016/s0194-5998(99)70056-2.

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16

Ashutosh, Kumar Singh, Kumar Ajay, and Kumari Anupama. "Prospective Clinical Study to Assess the Novel Technique of Collagen Application Over Meshed Split Thickness Graft for Wound Coverage." International Journal of Pharmaceutical and Clinical Research 14, no. 2 (2022): 418–30. https://doi.org/10.5281/zenodo.13857086.

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<strong>Aim:</strong>&nbsp;A Novel Technique of Collagen Application over Meshed Split Thickness Graft for Wound Coverage.&nbsp;<strong>Methods:&nbsp;</strong>This prospective study conducted in the Department of surgery, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India for 1 year. All cases with a raw area of 5-20% of total body surface area with the need for STSG for wound coverage, irrespective of the sex of patients, were included in the study. Children &lt; 10 yrs and adults &gt; 70 yrs were not part of the study.&nbsp;<strong>Results:&nbsp;</strong>Causes for wound
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17

Himel, Harvey N., George T. Rodeheaver, Arnold Luterman, et al. "A New Device for Securing Meshed Split-Thickness Skin Grafts." Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 28, no. 4 (1994): 299–303. http://dx.doi.org/10.3109/02844319409022016.

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18

Maitz, Joanneke, Lucas G. Carelli, Elizabeth Coady, Duncan Loi, and Peter Maitz. "A Composite Application Technique of Single-stage Dermal Templates to Improve Handling and Ease of Use." Plastic and Reconstructive Surgery - Global Open 12, no. 8 (2024): e6094. http://dx.doi.org/10.1097/gox.0000000000006094.

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Summary: The “work horse” for the treatment of full-thickness defects of any etiology, including chronic nonhealing wounds and traumatic injuries, is generally autologous split-thickness skin grafts (STSGs), meshed, hand-fenestrated, or a sheet graft. Advancements in skin tissue engineering have allowed for the integration of dermal substitutes to be combined with autologous STSGs, adding valuable options for restoring the skin’s complex multilayered structure. Although dermal templates offer a promising avenue for more nuanced reconstruction in certain cases, their application is not without
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19

Petry, Judith J., and Kathleen A. Wortham. "Contraction and growth of wounds covered by meshed and non-meshed split thickness skin grafts." British Journal of Plastic Surgery 39, no. 4 (1986): 478–82. http://dx.doi.org/10.1016/0007-1226(86)90117-7.

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20

Chattopadhyay, Arhana, Courtney Swan, Clifford C. Sheckter, Deepak Gupta, and Yvonne L. Karanas. "525 Autologous Skin Cell Suspension May Enhance Healing of Burn Wounds and Skin Graft Donor Sites in Elderly Burn Patients." Journal of Burn Care & Research 41, Supplement_1 (2020): S100—S101. http://dx.doi.org/10.1093/jbcr/iraa024.155.

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Abstract Introduction An autologous skin cell suspension (ASCS) spray containing keratinocytes, fibroblasts, and melanocytes can be processed from a small split thickness skin sample for use at the point-of-care in the operating room. ASCS have been shown to facilitate epidermal regeneration in large TBSA partial thickness burns with minimal donor site morbidity. We hypothesized that ASCS in conjunction with a 3:1 split thickness skin graft applied to burn wounds and ASCS alone applied to the donor site would facilitate healing in a 95 year-old burn patient with 12% TBSA deep partial and full
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21

Kobori, Chie, Makoto Hikosaka, Wataru Tsugu, et al. "Combination of Cultured Epidermal Autograft and Meshed Skin Graft Enables Full-thickness Excision of Giant Congenital Nevus." Plastic and Reconstructive Surgery - Global Open 12, no. 9 (2024): e6157. http://dx.doi.org/10.1097/gox.0000000000006157.

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Summary: Giant congenital melanocytic nevus (GCMN) is a skin condition characterized by an abnormally dark, noncancerous skin patch. Two main issues with GCMN are aesthetics and malignant transformation. Various methods of treatment are reported, but each method has its own disadvantages, such as risk of recurrence or restriction in the treatable area. We report three cases of GCMN treated with full-thickness excision and immediately covered with cultured epidermal autograft (CEA) combined with split-thickness skin graft (STSG). This is a single-center, single-arm, retrospective report of thre
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22

Olivi, Joe A., and Megan D. Rodgers. "560 Vacuum Assisted Dressing can be Used as an Effective Dressing Over Non-cultured, Autologous Skin Cell Suspension (ASCS) Combined with Wide Meshed Split Thickness Autografts (mSTSG)." Journal of Burn Care & Research 42, Supplement_1 (2021): S129—S130. http://dx.doi.org/10.1093/jbcr/irab032.210.

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Abstract Introduction There are accounts of various dressings being applied over epidermal spray cell suspension graft(s) (SCSG) with varying success and no one perfect dressing. We present 3 patients with ASCS grafts used in combination with mSTSG that were treated with vacuum assisted dressing with excellent outcomes. Methods All 3 of our patients received surgical debridement, down to healthy viable tissue with exposed tendon. BTM Dermal matrix was used in 2 of the 3 patients with exposed tendon. All three patients had mSTSG with ACSS autografts. All grafts were covered with telfa ™ clear,
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23

Efu, Michael, Akaa Priscilla Denen, Chukwukadibia Ahachi, and Babarinde Ojo. "Anesthetic and surgical experience in a tertiary hospital in a setting of fossil-fuel explosion resulting in mass casualty burn injury." GSC Biological and Pharmaceutical Sciences 11, no. 3 (2020): 075–80. https://doi.org/10.5281/zenodo.4271205.

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A mass casualty flame burn injury involving seventeen patients occurred in Benue State, Nigeria in 2019 when a petrol tanker fell, and exploded as villagers at Ahumbe were scooping the petrol. An unidentified number of people were burned to death at the scene of the incident. The study was conducted to highlight the anesthetic and surgical experience gained in the management of these cases in a temporary emergency burn unit in Benue State University Hospital (BSUTH), Makurdi. Seventeen case files of eligible patients were retrieved from the Records Department. Relevant information were extract
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Tanoue, Nathan, Jason Heard, Kathleen Romanowski, Tina Palmieri, and Soman Sen. "824 2-Ocytl Cyanoacrylate – a Split Thickness Skin Graft Donor Site Dressing?" Journal of Burn Care & Research 46, Supplement_1 (2025): S274. https://doi.org/10.1093/jbcr/iraf019.355.

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Abstract Introduction 2-octyl cyanoacrylate tissue adhesive is commonly in use to close surgical wounds. It is reported to have antibacterial, hemostatic, and tissue sealant properties and has been utilized in a wide variety of off-label applications. In autologous skin grafting, it has been described as a method to secure meshed split thickness skin grafts (STSG). To our knowledge it has never been described as a dressing for the donor site in the literature. Here we present five patients with 2-octyl cyanoacrylate resin applied to the STSG donor site as a novel dressing. Methods This is a ca
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Reisler, Tom, Syed A. Mashhadi, and Mohammed Jawad. "A simple method of cutting meshed split thickness skin grafts to desired size." Burns 34, no. 4 (2008): 580. http://dx.doi.org/10.1016/j.burns.2007.08.007.

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Carney, Bonnie C., Lauren T. Moffatt, Taryn E. Travis, et al. "138 Evaluation of Healing Outcomes Combining Negative Pressure Wound Therapy with Autologous Skin Cell Suspension and Meshed Autografts: Pre-Clinical and Clinical Evidence." Journal of Burn Care & Research 42, Supplement_1 (2021): S92—S93. http://dx.doi.org/10.1093/jbcr/irab032.142.

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Abstract Introduction Negative pressure wound therapy (NPWT) is an option for securing meshed split thickness skin grafts (mSTSGs) after burn excision to optimize skin graft adherence, working by minimizing disruption by shear forces and promoting the continual removal of wound bed drainage. Recently, the use of autologous skin cell suspension (ASCS) has been approved for use in treating full-thickness burn injuries in conjunction with mSTSGs. Limited data exists regarding the impact of NPWT on healing outcomes when the cellular suspension is utilized. It was hypothesized that NPWT in conjunct
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El Hadidy, M., P. Tesauro, M. Cavallini, M. Colonna, F. Rizzo, and M. Signorini. "Contraction and growth of deep burn wounds covered by non-meshed and meshed split thickness skin grafts in humans." Burns 20, no. 3 (1994): 226–28. http://dx.doi.org/10.1016/0305-4179(94)90187-2.

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28

Kahn, Steven A., Gabriel G. Gaweda, Elizabeth Halicki, et al. "793 "Minimally Invasive" Skin Grafting with Enzymatic Debridement and Autologous Skin Cell Suspension." Journal of Burn Care & Research 43, Supplement_1 (2022): S202—S203. http://dx.doi.org/10.1093/jbcr/irac012.343.

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Abstract Introduction Minimally invasive surgery has become standard of care across numerous subspecialties. However, burn surgery has lagged behind; as the mainstay of treatment still involves excision with a knife and a split thickness skin graft (STSG) with a painful donor site. Enzymatic debridement with bromelain and autologous skin cell spray (ASCS) have independently been STSG use and decrease the donor site size. Due to constraints with the time course of these products only being available via studies before one was FDA approved, these technologies have not been utilized together in t
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Baneu, Nicoleta-Sara, Vlad Adam Bloancă, Diana Szilagyi, et al. "Surgical management of dissecting cellulitis of the scalp using free latissimus dorsi flap and meshed split–thickness skin graft." Medicine 100, no. 4 (2021): e24092. http://dx.doi.org/10.1097/md.0000000000024092.

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Garoufalis, Matthew, and William Tettelbach. "Expandable Dehydrated Human Umbilical Cord Allograft for the Management of Nonhealing Lower Extremity Wounds in Patients With Diabetes: A Case Series." Wounds: a compendium of clinical research and practice 34, no. 9 (2022): e91-e95. http://dx.doi.org/10.25270/wnds/21126.

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Advanced wound treatments are derived primarily from human placental membranes or animal tissue sources and composed of cellular and acellular dermal substitutes. The use of advanced wound treatments is practitioner directed and individualized to the wound characteristics. A multidisciplinary approach to wound closure is necessary, including the use of advanced treatments (eg, human umbilical cord derivatives) to achieve durable resolution of hard-to-heal wounds. In this case series, DHUC was used as an alternative to amniotic and amnion/chorion allografts for closure of a deep heel ulcer and
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Navarro, Eduardo, Tera Thigpin, and Joshua S. Carson. "662 Single Surgeon Experience Using a Polyactide-based Copolymer Dressing to Over and Secure Split Thickness Skin Grafts in Burn Patients." Journal of Burn Care & Research 42, Supplement_1 (2021): S186—S187. http://dx.doi.org/10.1093/jbcr/irab032.308.

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Abstract Introduction In both partial thickness burns and skin graft donor sites, coverage with Polylactide-based copolymer dressing (PLBC dressing) has been shown to result in expedited healing and improved pain outcomes when compared to more traditional techniques. These advantages are generally attributed to the way in which PLBC remains as an intact coating over the wound bed throughout the healing process, protecting wounds from the contamination and microtraumas associated with changes more conventional dressings. At our institution, we began selectively utilizing PLBC as a means of secu
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Dunev, V., I. Rachev, N. Kolev, et al. "S25 USE OF MESHED SPLIT-THICKNESS SKIN GRAFTS IN PATIENTS WITH PARAFFINOMA OF MALE GENITALIA." European Urology Supplements 11, no. 4 (2012): 138. http://dx.doi.org/10.1016/s1569-9056(13)60220-1.

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Gupta, Vivek, and Arnab Chanda. "Finite Element Analysis of Hierarchical Metamaterial-Based Patterns for Generating High Expansion in Skin Grafting." Mathematical and Computational Applications 28, no. 4 (2023): 89. http://dx.doi.org/10.3390/mca28040089.

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Burn injuries are very common due to heat, accidents, and fire. Split-thickness skin grafting technique is majorly used to recover the burn sites. In this technique, the complete epidermis and partial dermis layer of the skin are used to make grafts. A small amount of skin is passed into the mesher to create an incision pattern for higher expansion. These grafts are transplanted into the burn sites with the help of sutures for recovering large burn areas. Presently, the maximum expansion possible with skin grafting is very less (&lt;3), which is insufficient for covering larger burn area with
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Kahn, Steven, Ashley Hink, Jordan Karsch, et al. "664 “Minimally Invasive” Skin Grafting with Enzymatic Debridement and Autologous Skin Cell Spray." Journal of Burn Care & Research 42, Supplement_1 (2021): S187—S188. http://dx.doi.org/10.1093/jbcr/irab032.310.

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Abstract Introduction Minimally invasive surgery is increasingly becoming standard of care across numerous subspecialties. However, burn surgery has lagged behind; as the mainstay of reconstruction still involves wound excision with a knife, a commensurately sized skin graft, and a painful donor site. In recent years, several new technologies have the potential to be used synergistically to perform “minimally invasive” skin grafts. Enzymatic debridement with bromelain and autologous skin cell spray (ASCS) have independently been shown to reduce the need for split-thickness skin graft (STSG) an
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Verplancke, P., H. Beele, S. Monstrey, and J. M. Naeyaert. "Treatment of Dystrophic Epidermolysis bullosa with Autologous Meshed Split-Thickness Skin Grafts and Allogeneic Cultured Keratinocytes." Dermatology 194, no. 4 (1997): 380–82. http://dx.doi.org/10.1159/000246155.

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Welson, Adel, and Jilan Raef. "Effect of autologous platelet-rich plasma gel application on meshed split- thickness grafts in burn patients." Journal of Medical Histology 8, no. 1 (2024): 6. https://doi.org/10.21608/jmh.2024.392625.

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37

Qumsiyeh, Yazen, and Nicole M. Kopari. "659 Non-Burn Etiologies Treated with Autologous Skin Cell Suspension: A Case Series Demonstrating the Efficacy in Complex Wounds." Journal of Burn Care & Research 42, Supplement_1 (2021): S195. http://dx.doi.org/10.1093/jbcr/irab032.324.

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Abstract Introduction Complex wounds (CW) resulting from necrotizing soft tissue infections (NSTIs) and soft tissue traumatic injuries create unique challenges. Radical debridement is often the first step in management but can result in disfigurement with impaired function and compromised cosmesis. The standard of care at our institution for full-thickness burn injuries of similar complexity is widely meshed autografting with application of autologous skin cell suspension (ASCS). Our study is a case series reviewing outcomes using ASCS for CW from non-burn etiology. Methods A retrospective cha
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Holmes IV, James Hill, Joseph A. Molnar, Jeffrey E. Carter, et al. "A Comparative Study of the ReCell® Device and Autologous Split-Thickness Meshed Skin Graft in the Treatment of Acute Burn Injuries." Journal of Burn Care & Research 39, no. 5 (2018): 694–702. http://dx.doi.org/10.1093/jbcr/iry029.

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39

Diwakar, Yadav, K. Choudhary A., and Kant Utkrist. "Assessment of the Effectiveness of the Novel Technique of Collagen Application Over Meshed Split Thickness Graft for Wound Coverage: A Prospective Study." International Journal of Pharmaceutical and Clinical Research 13, no. 6 (2021): 688–93. https://doi.org/10.5281/zenodo.14225754.

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<strong>Aim:</strong>&nbsp;To study the advantages of a novel technique of using collagen sheet over meshed split thickness graft for wound coverage.&nbsp;<strong>Methodology:</strong>&nbsp;A prospective study was conducted at Department of general surgery at Sheikh Bhikhari Medical College and Hospital, Hazaribagh, Jharkhand, India. A total of 25 patients were part of this study intending to follow each patient at least for a minimum of 6 months postoperatively. All patients underwent relevant routine investigations. Patients were regularly evaluated for postoperative complications and outcom
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40

Powell, Heather M., Britani Blackstone, Susannah Swanson, et al. "134 Early Split-Thickness Autografting over a Collagen-Elastin Dermal Matrix Aids in Vascularization and Decreased Contraction." Journal of Burn Care & Research 45, Supplement_1 (2024): 109. http://dx.doi.org/10.1093/jbcr/irae036.133.

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Abstract Introduction The dermis plays an important role in skin biomechanics and epidermal homeostasis. Following deep cutaneous injuries, restoration of the dermis is key for optimal functional and aesthetic outcomes. To regenerate a healthy, vascularized dermis, several dermal substitutes have been designed. The timing of split-thickness skin graft (STSG) application over these dermal substitutes is critical to success yet has not been studied systematically for some matrices. Methods To understand the impact of STSG application timing, a collagen-elastin dermal matrix (CEDM) was applied to
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Stone, Randolph, Emily C. Saathoff, David A. Larson, et al. "Comparison of Intact Fish Skin Graft and Allograft as Temporary Coverage for Full-Thickness Burns: A Non-Inferiority Study." Biomedicines 12, no. 3 (2024): 680. http://dx.doi.org/10.3390/biomedicines12030680.

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The extent and depth of burn injury may mandate temporary use of cadaver skin (allograft) to protect the wound and allow the formation of granulation tissue while split-thickness skin grafts (STSGs) are serially harvested from the same donor areas. However, allografts are not always available and have a high cost, hence the interest in identifying more economical, readily available products that serve the same function. This study evaluated intact fish skin graft (IFSG) as a temporary cover to prepare the wound bed for STSG application. Thirty-six full-thickness (FT) 5 × 5 cm burn wounds were
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42

Carney, Bonnie C., Laura S. Johnson, Jeffrey W. Shupp, and Taryn E. Travis. "Initial Experience Combining Negative Pressure Wound Therapy With Autologous Skin Cell Suspension and Meshed Autografts." Journal of Burn Care & Research 42, no. 4 (2021): 633–41. http://dx.doi.org/10.1093/jbcr/irab075.

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Abstract The success of autologous split-thickness skin grafts (STSGs) in the treatment of full-thickness burns is often dependent on the dressing used to secure it. Tie-over bolsters have been used traditionally; however, they can be uncomfortable for patients and preclude grafting large areas in one definitive operation. Negative pressure wound therapy (NPWT) is used as an alternative to bolster dressings and may afford additional wound healing benefits. In our center, NPWT has become the dressing of choice for securing STSGs. While the RECELL® system is being used in conjunction with STSGs,
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43

O'Neil, Audrey M., Cassandra Rush, Laura Griffard, and Brett Hartman. "33 Standardizing an Early Ambulation Protocol for Lower Extremity Grafts." Journal of Burn Care & Research 45, Supplement_1 (2024): 26. http://dx.doi.org/10.1093/jbcr/irae036.033.

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Abstract Introduction Early post-op ambulation benefits burn survivors by allowing quicker return to independent ambulation, limiting joint stiffness associated with immobilization, and preventing complications from bedrest. Burn Practice Guidelines for early ambulation were published in 2012, however significant variability in practice continues with burn centers reporting initial ambulation occurring between 0-14 days post-op, averaging on day 3 when the lower leg and foot is involved. Additionally, immobilization and weight bearing restrictions are recommended if the autograft is placed ove
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44

Osuna, Juan Angel Biguerias, Victoria Gallardo Chavez, and Jesus Antonio Galindo Castaneda. "Surgical management of burn injuries: current concepts and advancements in reconstructive strategies." International Surgery Journal 12, no. 6 (2025): 1044–48. https://doi.org/10.18203/2349-2902.isj20251550.

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Severe burn injuries pose complex clinical challenges requiring multidisciplinary management. Surgical intervention remains a cornerstone in the treatment of deep partial-thickness and full-thickness burns, aiming to achieve early wound closure, minimize infection risk, and restore function and aesthetics. This manuscript reviews the principles, timing, and techniques of surgical management of burn injuries, including early excision and grafting, reconstructive options, and recent advancements in surgical care aimed at improving patient outcomes. A comprehensive literature review was conducted
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45

Hansbrough, John F., Christine Doré, and Wendy B. Hansbrough. "Clinical Trials of a Living Dermal Tissue Replacement Placed Beneath Meshed, Split-Thickness Skin Grafts on Excised Burn Wounds." Journal of Burn Care & Rehabilitation 13, no. 5 (1992): 519–29. http://dx.doi.org/10.1097/00004630-199209000-00004.

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46

Zajicek, Robert, Richard Kubok, Nikola Petrova, Monika Tokarik, Eva Matouskova, and Peter Gal. "Complex approach to skin repair in an extensively burned child: a case study." Journal of Wound Care 29, no. 8 (2020): 458–63. http://dx.doi.org/10.12968/jowc.2020.29.8.458.

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The limited amount of donor sites and loss of dermis are major challenges in the therapy of extensively burned patients. Here, we present a complex treatment approach of an eight-year-old boy with full-thickness burns on 90% of the total body surface area, using simple and efficient techniques of tissue engineering. To obtain sufficient skin for grafting we repeatedly harvested the same anatomical areas. Acceleration of donor site healing was achieved by treatment with a suspension of noncultured autologous skin cells (NASC) and acellular porcine dermis (Xe-Derma (XD), Czech Republic). Moreove
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47

Oliver, Mary A., John W. Keyloun, Esteban A. Molina, et al. "Autologous Meshed Graft Healing Within the Interstice versus Surrounding Adhered Split Thickness Skin Sites: Where Should Tissue Biopsies be Taken to Assess Tissue-Level Histoarchitecture?" Journal of Surgical Research 310 (June 2025): 257–67. https://doi.org/10.1016/j.jss.2025.04.002.

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48

Liu, Nehemiah T., Randolph Stone, José Salinas, and Robert J. Christy. "115 Predicting Graft Failure in a Porcine Burn Model of Various Debridement Depths via Laser Speckle Imaging and Deep Learning." Journal of Burn Care & Research 41, Supplement_1 (2020): S77. http://dx.doi.org/10.1093/jbcr/iraa024.118.

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Abstract Introduction Early excision and grafting (E&amp;G) remains a mainstay in the treatment of burns. Procedures to remove necrotic tissue from severe burn wounds continue to be challenging and may affect rates of successful grafting. The use of laser speckle imaging (LSI) may help detect necrotic tissue remaining but requires human interpretation. Additional decision-making support is needed, especially in prolonged field care settings. The purpose of this study was to evaluate whether graft success or failure can be predicted from LSI using machine learning (ML) and deep learning (DL) te
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Oh, Se Won, Seong Oh Park, and Youn Hwan Kim. "Resurfacing the donor sites of reverse sural artery flaps using thoracodorsal artery perforator flaps." Archives of Plastic Surgery 48, no. 6 (2021): 691–98. http://dx.doi.org/10.5999/aps.2021.01088.

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Background The reverse sural artery (RSA) flap is widely used for lower extremity reconstruction. However, patients sometimes suffer from donor site complications such as scar contracture and paresthesia, resulting in dissatisfaction with the aesthetic outcomes. This study investigated the characteristics of donor site morbidity associated with RSA flaps and described our experiences of dealing with complications by performing resurfacing surgery using thoracodorsal artery perforator (TDAP) flaps.Methods From April 2008 to August 2018, a total of 11 patients underwent contracture release and r
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Ziv, I., R. Mosheiff, A. Zeligowski, M. Liebergal, J. Lowe, and D. Segal. "Crush Injuries of the Foot with Compartment Syndrome: Immediate One-Stage Management." Foot & Ankle 9, no. 4 (1989): 185–89. http://dx.doi.org/10.1177/107110078900900407.

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Severe crush injuries with compartment syndrome were treated in five patients by an immediate one-stage procedure. This procedure included the assessment of skin flap viability with accurate debridement of devascularized tissues. It was performed according to the split-thickness skin excision technique. Compartment pressures were measured and the fasciotomies were performed through open wounds or separate medial and lateral incisions. The medial incision was extended to release the tarsal tunnel. Fractures were reduced and internally fixed and exposed bones were covered with locally transposed
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