Name of the Procedure:

Application of Skin Substitute Graft to Face, Scalp, Eyelids, Mouth, Neck, Ears, Orbits, Genitalia, Hands, Feet, and/or Multiple Digits, Total Wound Surface Area up to 100 sq cm; Each Additional 25 sq cm Wound Surface Area, or Part Thereof

Summary

This medical procedure involves applying a skin substitute graft to various sensitive areas of the body such as the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and digits. The process covers wound surface areas up to 100 square centimeters, with additional grafts provided for every extra 25 square centimeters or part thereof.

Purpose

• Medical Condition: Used to treat wounds, burns, or skin loss.
• Goals: Promote healing, protect underlying tissues, and improve cosmetic appearance.

Indications

• Chronic wounds not healing with conventional treatments.
• Acute injuries or burns requiring grafts.
• Patients with significant skin loss due to surgery or trauma.

Preparation

• Patients may need to fast several hours before the procedure.
• Discontinue certain medications as advised by the physician.
• Pre-procedure blood tests and skin assessments.

Procedure Description

1. Assessment: Healthcare provider assesses the wound and measures the area.
2. Preparation: The wound site is cleaned and prepped.
3. Application: Skin substitute graft is carefully placed over the wound.
4. Securing: The graft is secured using medical dressings or adhesive.
5. Covering: A secondary dressing may be applied to protect the graft.

Tools and Equipment:

• Scalpel or scissors for trimming the graft.
• Medical adhesive.
• Sterile dressings.

Anesthesia:

• Local anesthesia is commonly used to numb the area. For larger or more complex grafts, general anesthesia may be considered.

Duration

Typically, the procedure takes about 1-3 hours, depending on the size and complexity of the wound.

Setting

Performed in a hospital, outpatient clinic, or a specialized surgical center.

Personnel

• Surgeon or dermatologist.
• Nurses or medical assistants.
• Anesthesiologist if general anesthesia is used.

Risks and Complications

• Infection at the graft site.
• Graft rejection or failure to integrate.
• Scarring or poor aesthetic outcome.
• Allergic reaction to materials used.

Benefits

• Faster and improved wound healing.
• Reduced risk of infection.
• Improved cosmetic and functional outcome.
• Pain relief as the wound heals.

Recovery

• Keep the graft site clean and dry.
• Follow-up appointments to monitor healing.
• Avoid strenuous activities or pressure on the graft site for several weeks.
• Pain management through prescribed medications.

Alternatives

• Regular wound dressings.
• Autografts (using the patient’s skin).
• Synthetic skin substitutes.
• Each alternative has varying effectiveness, healing times, and cosmetic outcomes.

Patient Experience

During the procedure, patients will feel minimal discomfort due to anesthesia. Post-procedure, some pain or sensitivity at the graft site is expected, which will be managed with medications and care instructions.

Pain can be managed with prescribed medications, and comfort measures include keeping the area clean and avoiding any stress or impact on the grafted skin.