FAQ: Skin Grafting

If you suffer from burn marks/skin loss that had cause deep skin tissue damage and wish to seek treatment to restore the area by filling it in or reduce any discolouration on the skin or improve skin texture

This surgery will remove healthy skin from a donor site (usually from the buttocks or thighs) and place/stitch it over the area of the skin where the wound resides

Some possible complications/risk are infections, reaction to anesthesia, bleeding, skin graft resisting to heal, increase or reduce/lost of skin sensation, scarring, discolouration of the skin, and uneven skin surface

Other surgical options can include bioengineered skin, negative-pressure wound therapy, and skin cell gun.

The graft will be obtained from another part of your body (commonly thighs and buttocks)

The thickness of the graft will depend on the severity of the damage

Your graft should last a lifetime, as long as the healing process is successful

The chances are slim since the graft is obtained from your skin/body and not from another source

Successful patients usually do not need additional surgery

There is a chance that there may be a loss of sensation in the donor area, depending on the degree of damage

This will vary from patient to patient

Some patients will have minimal scarring while others will have a very distinct and visible scarring

The surgery should take

You will have bandages that will need to be regularly removed and replaced for a couple of weeks, depending on where the location of the treated area is

The grafted area will be red and noticeable with scarring in the beginning, however as time goes by, all these side effects will subside but will still be apparent

The pain will be moderate but medication will be provided to help manage

由于我使用了关闭腹部的技术,因此除非有特殊情况,否则通常不需要排泄管。

Patients usually do not need physical therapy unless the damage was severe to the point of movement impairment

I usually perform this surgery as an outpatient and every one is able to go home the same day. You will be seen the following day or 2 days later.

您应该能够在一周内恢复到80%的日常活动。我鼓励我的患者在手术后几天内走动并恢复轻度活动。鼓励您在走路时俯身。我们建议您在四到六周内不要进行任何剧烈运动或举重。

通常,您不应在手术后的前48小时内开车。同样,如果您正在服用大量坏死药,则不应开车。我的大多数客户通常在3-4天后开车。

这取决于工作类型。对于正在从事办公桌工作并热爱重返工作岗位的人,在1周后返回经过修改的工作非常普遍。对于体力劳动强度更高的人,可能需要6到8周的时间才能恢复工作。

我的手术通常在全身麻醉下进行,但脊柱和镇静部位也可以。

我所有的患者在手术前但通常在手术当天去看麻醉师。对于有特殊需要的人,我经常在手术前几天安排与麻醉师会诊。

我会在初步咨询,术前预约和手术当天对所有患者用药进行审查。

通常,可能会导致出血或出血时间延长的所有药物都需要停止或更改。如果没有咨询您的家庭医生和使用这些药物的专家,则不应停止任何药物治疗。

对于我的患者,常规实验室检查(例如CBC,电解质,肝功能,INR,PTT,心电图检查)相当常规。如果患者有特殊医疗状况,则可以订购其他检查。

我和我的麻醉师都希望在手术前6小时停止进食和饮水。如果手术前有指示,可以用一小口水服药

我们建议您在手术前30分钟到达。如果手术时间已更改,我们也会在您的手机上尝试您。

您可以打电话给我的办公室。我们的地址可以在线获得,也可以使用移动应用进行指导

您需要有人在手术后将您带回家,因为不允许开车。

  • 安排住院期间可能需要的个人物品
  • 安排某人在家里和工作中承担责任
  • 安排某人带你回家医院
  • 安排一个人在手术后的第一天和你在一起
  • 如果您有其他疑问,请致电您的医生
  • 如果您在手术后10天内生病(即使是小病,例如感冒),请通知医生
  • 按照医生的建议停止进食和/或饮水
  • 手术前24小时请勿吸烟或饮酒
  • 确保您拥有医生的联系信息
  • 确保您有访客前往医院/办公室的指示

The surgery time can range from 1-2 hours

您通常会在手术后的10分钟内醒来,您的家人会在手术后的一小时内看到您。

您通常会在手术后的10分钟内醒来,您的家人会在手术后的一小时内看到您。

如果您有深静脉血栓或肺栓塞的重大风险,则需要服用血液稀释药物。

我通常在手术室开始使用抗生素,您可能还要再口服48小时。

  • 确保已通过姓名和出生日期确认您的身份
  • 确保您已确认要进行的手术
  • 确保已标出正确的手术部位
  • 确认您可能有的任何过敏和副作用
  • 确保您了解并签署了知情同意书

我通常会在恢复室以及在手术后一到两天与您交谈,以解释您的手术情况。

这取决于您的医疗状况,我将在您进行术前咨询时与您讨论。

我通常希望您继续使用常规药物,但可能导致出血的药物除外。我将与您进一步讨论。

我通常的方案不使用排水管,管子或导管,因为我使用特殊的封闭技术来减少对这些设备的需求。

手术后不久即可喝水和液体。

手术后的呼吸运动得到了改善,我的患者清醒后开始进入康复室。

我的程序通常是在门诊就诊,您将待几个小时。如果患者准备好了,我只会让他们回家。

您需要满足所有出院标准,然后才能回家。

您将获得术中用药;局部阻滞以及口服和父母镇痛药,以确保您感到舒适。

If needed, you can start physical therapy after a month but this can vary depending on how deep the damage was and where the impairment occurred

对于我的患者,常规实验室检查(例如CBC,电解质,肝功能,INR,PTT,心电图检查)相当常规。如果患者有特殊医疗状况,则可以订购其他检查。

Your incision on the donor site should finish healing after a couple of weeks while the incision for the skin grafting will be distinct and noticeable

Antibiotics will be started after you finish surgery but your regular medication should still be taken unless advised by your doctor or me

Our patient can do light activities at home. It is better to walk slowly and avoid any excess contact/rubbing on the surgical area. If the skin grafting is done on the leg, patients are advised to remain in bed for 10 days and keep the treated leg elevated

您应该在手术日之前将药物装满。

可能导致出血或改变您的医疗状况的任何调解必须在手术前停止或更改。术前访问时,我将与您详细讨论。

There will be a bandage applied over the wound. During post-surgery, the patient will be require to change the bandage regularly and apply mineral oil to avoid cracking of the skin

You can take a shower two days after the surgery

我通常喜欢在手术后的第一到第二天去看病人。

You usually do not need physical therapy. And if you do, this will be discussed with the individual who provides you the physical therapy

缝合线通常在手术后约10天被去除。

This depends on the amount of contact/rubbing the treated area encounters, usually

It is suggested that the activity level is low to avoid any excess rubbing or contact with the healing area. Returning to normal activity can range from 1 week to 3 weeks, depending on the type of skin grafting done

For clients that do light office work, return to work within two weeks is possible, depending on the type of skin grafting. For clients who work in more physical demanding jobs, you can take up to 6 weeks after surgery.

You can usually drive a couple of days after surgery as long as you are not any narcotic medication and this also depends on the type of skin grafting you had done

我建议您应该避免性活动几个星期。

  • 确保护理人员在护理前后洗手
  • 不要等到剧烈疼痛才需要止痛药
  • 在医护人员离开房间之前,请确保通话按钮触手可及
  • 站起来之前,请坐在床边几分钟,以免头晕

如果您感到虚弱或头晕,请勿在没有帮助的情况下起床

  • 您发烧高于华氏100.4度
  • 您呼吸急促或胸痛
  • You notice increased redness, swelling, warmth, or pain around your surgical site
  • You notice that your graft is separating or you have infected discharge from your graft
  • You notice the edges of your skin graft turning dark
  • 您的敷料反复被鲜血浸透
  • 您有您现有的止痛药无法控制的疼痛
  • 遵医嘱服用止痛药和其他药物
  • 服用处方止痛药时请勿开车
  • 手术后十天不要泡澡或游泳
  • Keep your graft clean and dry
  • 只要医生建议,就避免剧烈运动和繁重的举动
  • 按照医生的指示恢复正常的日常活动

按照医生的指示恢复性行为

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