The effect of skin graft preparation on wound contraction. 1976

R Rudolph

Both clinically and experimentally, full thickness skin grafts inhibit wound contraction better than do split thickness grafts. This occurs even if full thickness grafts are thinner than split grafts. Since inhibition of wound contraction does not depend on graft thickness alone, other differences should be sought between full and split grafts to explain this inhibition. One such difference is method of preparation. While full thickness grafts are cut with sharp dissection, split grafts are cut with mineral oil or with dermatome glue which is then stripped off. Both mineral oil and surface stripping in intact skin cause epidermal hyperplasia, more prominent in split grafts than in full thickness grafts. In this study, the effect of skin graft preparation on wound contraction and epidermal hyperplasia was tested. Seventy-four split thickness skin grafts were cut from Fischer rats with lubrication using mineral oil, Lubafax, normal saline solution or glue and a Padgett dermatome. Six full thickness grafts were treated with mineral oil. All grafts were placed on syngeneic rats; the area was measured with a planimeter, and biopsies were taken at zero, one, two, four, eight, 14 and 20 weeks. Mineral oil prepared split grafts lost 17.8 +/- 2.2 per cent area by one week, with a maximal loss of 38.8 +/- 4.8 per cent by four weeks. Split grafts cut with Lubafax, saline solution or glue plus drum dermatome lost similar area. Split grafts later enlarged as the rats grew, but in no group did split grafts surpass their original area. Full thickness grafts, even though treated with mineral oil, grew 3.9 +/- 4.3 per cent beyond their original area by four weeks and enlarged through 20 weeks. Histologic examination showed that all split skin grafts, regardless of surface preparation, had considerable epidermal hyperplasia and scarring in graft dermis and bed between one and four weeks. Thus, both skin graft contraction and epidermal hyperplasia occur independently of how grafts are prepared. The explantation of why full and split thickness grafts inhibit wound contraction differently must lie intrinsic rather than extrinsic to the skin.

UI MeSH Term Description Entries
D006965 Hyperplasia An increase in the number of cells in a tissue or organ without tumor formation. It differs from HYPERTROPHY, which is an increase in bulk without an increase in the number of cells. Hyperplasias
D008153 Lubrication The application of LUBRICANTS to diminish FRICTION between two surfaces. Lubrications
D008297 Male Males
D008722 Methods A series of steps taken in order to conduct research. Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D008899 Mineral Oil A mixture of liquid hydrocarbons obtained from petroleum. It is used as laxative, lubricant, ointment base, and emollient. Liquid Paraffin,Petrolatum, Liquid,Drakeol,Vaseline Oil,Liquid Petrolatum,Oil, Mineral,Oil, Vaseline,Paraffin, Liquid
D005069 Evaluation Studies as Topic Works about studies that determine the effectiveness or value of processes, personnel, and equipment, or the material on conducting such studies. Critique,Evaluation Indexes,Evaluation Methodology,Evaluation Report,Evaluation Research,Methodology, Evaluation,Pre-Post Tests,Qualitative Evaluation,Quantitative Evaluation,Theoretical Effectiveness,Use-Effectiveness,Critiques,Effectiveness, Theoretical,Evaluation Methodologies,Evaluation Reports,Evaluation, Qualitative,Evaluation, Quantitative,Evaluations, Qualitative,Evaluations, Quantitative,Indexes, Evaluation,Methodologies, Evaluation,Pre Post Tests,Pre-Post Test,Qualitative Evaluations,Quantitative Evaluations,Report, Evaluation,Reports, Evaluation,Research, Evaluation,Test, Pre-Post,Tests, Pre-Post,Use Effectiveness
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D012965 Sodium Chloride A ubiquitous sodium salt that is commonly used to season food. Sodium Chloride, (22)Na,Sodium Chloride, (24)NaCl
D014184 Transplantation, Homologous Transplantation between individuals of the same species. Usually refers to genetically disparate individuals in contradistinction to isogeneic transplantation for genetically identical individuals. Transplantation, Allogeneic,Allogeneic Grafting,Allogeneic Transplantation,Allografting,Homografting,Homologous Transplantation,Grafting, Allogeneic
D014945 Wound Healing Restoration of integrity to traumatized tissue. Healing, Wound,Healings, Wound,Wound Healings

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