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World journal of surgery · Mar 1998
Use of the scalp as a donor site for large burn wound coverage: review of 150 patients.
- L Y Chang, J Y Yang, S S Chuang, and C W Hsiao.
- Linkou Burn Center, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
- World J Surg. 1998 Mar 1; 22 (3): 296-9; discussion 299-300.
AbstractThe characteristics of rapid wound healing and multiple harvest capacity make the scalp an important donor site when dealing with large and deep burn wounds. This paper reports the results of a retrospective analysis of 150 patients treated for large burn wounds. The findings indicated that bleeding during graft skin harvest could be limited to 50 ml by intradermal injection of epinephrine (1:2,000,000), high-concentration epinephrine-soaked gauze compression (1:20,000), and temporary porcine skin coverage. Use of a scalp graft also carried a low risk of complications, with only four (2.7%) major complications including three cases (2.0%) of visible alopecia and one case (0.7%) of hair transplantation. There were no hypertrophic scars, even in the patient who had the largest number (11) of repeat harvests.
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