Author(s): Shanthi Ponnandai Swaminathan1, Ezhilavan Chellaswamy Sarasam2, Rasu Kuruji3, Lingesh Sairam Chelliah4
The present study is designed to find the various factors, which are responsible for acceptance and rejection of split skin graft. This study also deals with effect of intraoperative techniques and postoperative management in getting good graft acceptance. This study aims to identify the factors, which influence the skin graft and also help in minimising the complications.
MATERIALS AND METHODS
Patients are selected on the basis of nonprobability (purposive) sampling method. Patients and relatives were explained about the split skin grafting procedure and study and necessary approval was obtained from them prior to intervention. Data regarding the name, age, sex, education, occupation address, chief complaint, treatment history before admission for present complaint, history regarding the mode of onset of disease, past medical and surgical history, personal history was collected from patient and accompanying relatives. Intraoperative and postoperative status of raw area and survival of graft in terms of percentage of take noted systematically.
There was a significant statistical association between preoperative random blood sugar more than 200 mg/dL with take of SSG (p=0.02). 25% of patients with diabetes have more than 80% of take on third postoperative day have less than 80% of take on discharge. Preoperative haemoglobin level less than 10 g also significantly reduces graft take (p=0.01).
Our study data indicates that preoperative random blood sugar and haemoglobin had impact on the take of split skin graft with P value of 0.002 and 0.001, respectively.
Split Skin Graft, Take of the Graft, Diabetes.