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Types of skin grafting

Skin Grafting - Skin grafting is a type ofgraft surgeryinvolving thetransplantationofskin.1.) Homografting(allografting)

- Is the placement of skin from cadavers or a donor on the cleaned burn site. Thesegrafts do not grow but provide a protective covering for the area.

2.) Heterografting(xenografting)- It is a type of skin grafting that uses the skin of small children or the skin of a pig

may be used.

3.) Autografting- It is a process in which a layer of skin of both epidermis and a part of the dermis is

removed from the distal and placed at the prepared burn site, where it will grow

and replace the burned skin.

4.) Mesh Grafting- It is a strip of partial thickness skin that is slit at intervals so that it can be stretchedto cover a large area

Cultured Epithelium is derived from a full-thickness skin biopsy. This can be grown into acoherent sheet or supply an unlimited source for autografts. Larger areas may require mesh

grafts. The advantage of grafting is that it reduces fluid and electrolyte loss, pain, and the

chance of infection.

Care of the skin Graft

After The grafting procedure, the area is covered by a bulky dressing. So that the growth of thenewly adhering cells will not be disrupted.

- The donor site on the childs body is also covered by a gauze dressing.- Both donor and graft dressings should be observe for fluid drainage and odor.- Observe whether the child is in pain or not which can indicate infection.- Monitor the temperature every 4 hours.

http://en.wikipedia.org/wiki/Graft_%28surgery%29http://en.wikipedia.org/wiki/Graft_%28surgery%29http://en.wikipedia.org/wiki/Graft_%28surgery%29http://en.wikipedia.org/wiki/Transplantationhttp://en.wikipedia.org/wiki/Transplantationhttp://en.wikipedia.org/wiki/Transplantationhttp://en.wikipedia.org/wiki/Skinhttp://en.wikipedia.org/wiki/Skinhttp://en.wikipedia.org/wiki/Skinhttp://en.wikipedia.org/wiki/Skinhttp://en.wikipedia.org/wiki/Transplantationhttp://en.wikipedia.org/wiki/Graft_%28surgery%29

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Physical therapy of burn

Second and third therapy burns may receive open treatment, leaving the burned area exposedto the air, or a close treatment, in which the burned area is covered with an antibacterial cream

and many layers of gauze.

Methods:

a.) Open burn is exposed to air, used for superficial burns or body parts that are prone toinfection, such as perineum.

Advantages: Allows frequent inspection of site; allows child to follow healing process.

Disadvantages: Requires strict isolation to prevent infection; area may scrape and bleed

easily and impede healing.

b.) Closed Burn is covered with nonadherent gauze, used for moderate and severe burns.Advantages: Provides better protection from injury; is easier to turn and position child;

allows child more freedom to play

Disadvantages: Requires dressing changes that are painful; possibility of infection mayincrease because of dark moist environment.

Topical Therapy- Silver sulfadiazine is the drug of choice for burn therapy to limit infection at the burn site for

children. It is applied as a paste to the burn, and the area is covered with a few layers of

mesh gauze.