Split-thickness meshed skin graft is frequently used in the treatment of acute burns. We studied the effect of the type of basement preparation on graft intake and healing time. We retrospectively analysed 1,129 meshed grafts used in the treatment of acute burns between 1995 and 2005. Intake was significantly better after avulsion (82%) than after tangential excision (75%). Intake was better if avulsion was performed before day 7 (83% vs. 73%). A trend for better intake after tangential excision was seen when performed between day 7 and 21. Healing time was significantly shorter after tangential excision. These results show the paradox that avulsion favours graft intake but delays healing time, contrary to tangential excision.
Hôpital Saint-Louis, Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brûlés, Paris, France.
M
M
Guibert
Hôpital Saint-Louis, Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brûlés, Paris, France.
M
M
Chaouat
Hôpital Saint-Louis, Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brûlés, Paris, France.
D
D
Boccara
Hôpital Saint-Louis, Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brûlés, Paris, France.
O
O
Marco
Hôpital Saint-Louis, Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brûlés, Paris, France.
R
R
Lavocat
Hôpital Saint-Louis, Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brûlés, Paris, France.
O
O
Alameri
Hôpital Saint-Louis, Service de biostatistiques, Paris, France.
E
E
Deslandes
Hôpital Saint-Louis, Service de biostatistiques, Paris, France.
C
C
Montlahuc
Hôpital Saint-Louis, Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brûlés, Paris, France.
M
M
Mimoun