Here, we describe the
the Donor Skin is taken from the patient, usually the thighs or
buttocks. If the Total Burn area is 70% or greater then there would not
be enough area of unharmed skin for this, and some temporary type of
covering would be necessary, until cultured skin was available, which
could be in 30 days or so.
Initially the Burns Wound would be
(debrided) and prepared for
grafting, then a Dermatome is used to harvest the skin
from the Donor Site.
The thickness of this skin varies
to the size and site of the
wound, small areas on the face and neck are done with a thicker
Split-Skin graft, and often with a Full Thickness Graft to
minimise later scarring. These grafts are not meshed.
Wounds on areas that would be concealed
by clothing are covered with a
thinner Split-Skin graft which takes the Epidemis and a small part of
the Dermis, this skin is then Meshed to increase the coverage
and flexibility. The grafted areas on my arm and torso still show the
meshing pattern after 30 years.
Below is an excellent Video
-- showing the entire Grafting Surgery.