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International Journal of Surgery
Article
License: Elsevier Non-Commercial
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International Journal of Surgery
Article . 2012
License: Elsevier Non-Commercial
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International Journal of Surgery
Article . 2012 . Peer-reviewed
License: Elsevier Non-Commercial
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Skin graft meshing, over-meshing and cross-meshing

Authors: Henderson, James; Arya, Reza; Gillespie, Patrick;

Skin graft meshing, over-meshing and cross-meshing

Abstract

Split skin grafts (SSGs) are often meshed to increase their size and allow exudate to escape. We investigated the expansion obtained with meshing, and the possibility of re-meshing skin that has already been meshed ("overmeshing"). Both useful and inadvisable permutations are illustrated.Thin porcine SSGs were sideways meshed, or meshed with ratios of 1.5:1 and 3:1. Subsequently samples were over-meshed in a variety of ratios and directions. All grafts were maximally expanded and their areas calculated.Meshed skin did not expand as much as suggested by the ratios displayed on dermacarriers. A 1:1.5 dermacarrier produced an area expansion of 1.36×, and a 1:3 meshing apparatus produced only a 1.80×area expansion. Several combinations of twice-meshed SSGs maintained integrity as long as over-meshing was done in the axis of initial meshing. Up to 2.3×expansion was obtained, by following a 1:1.5 mesh with a 1:3 mesh. We term this procedure as "overmeshing". Re-meshing in a direction orthogonal to initial meshing (cross meshing) cut the skin into small pieces.Over-meshing a SSG can allow considerable further expansion, facilitating overgrafting of donor sites or simply increasing the area that can be covered with the existing harvested skin.

Keywords

Skin graft, Expansion, Swine, Skin Transplantation, Surgical Mesh, Skin Physiological Phenomena, Over-meshing, Animals, Surgery, Cross-meshing, Meshing, Split thickness skin graft

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
45
Top 10%
Top 10%
Average
hybrid