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VSD treatment after skin graft

What are the most common skin grafting methods? After what kinds of skin grafting can VSD be used?

Answer: The most common skin grafting methods include autologous skin graft, allogeneic skin graft and xenogeneic skin graft. Autologous skin graft includes free skin grafting and skin flap transplantation. Free skin grafting includes epidermal skin graft, split-thickness skin graft and full-thickness skin graft. Skin flap transplantation includes free skin flap and pedicle skin flap. VSD can be used after free skin grafting, allogeneic skin graft and xenogeneic skin graft

What are the most common causes of skin-grafting failure?

Answer: Infection, poor body condition, poor wound condition, bleeding, graft movement and improper pressure, poor quality of skin graft

What are the advantages of VSD after skin grafting?

Answer: Anti-infection, increase blood circulation at skin grafting area, extract exudates and hematocele, closely adhere skin graft to receiver field, avoid graft floating, be easy to solve problems for difficult fixation on complex skin grafting area, so VSD can improve survival quality of skin graft. Moreover, it can relieve patient’s pain during dressing change, and reduce work load of medical staffs. 

What should be noticed for VSD after skin grafting?

Answer: Negative pressure should be maintained at -0.017to -0.06MPa. Collapse of VSD materials indicates presence of negative pressure. Do not compress or fold drainage tube. Make sure drain is not block drainage tube. The materials can be rinsed or changed. Pay attention to the property and amount of drain. 

Can drainage tube be rinsed after skin grafting?

Answer: It is suggested to use washing pipe slowly rinsing drainage tube, in order to prevent blockage (saline infusion bag).