Graft Revascularization and Healing Process

What is the primary function of the fibrin network in the early stages of graft revascularization?

The formation of anastomoses between graft and recipient site vessels promotes capillary bud proliferation in the recipient bed.

Approximately how quickly does new capillary ingrowth occur in a graft?

Marked vascular remodeling takes place in the graft as the result of random anastomoses of graft arteries with recipient bed ______ and vice versa.

Match the events with their approximate timing after graft placement:

What primary factor contributes to the better viability of split-thickness grafts compared to full-thickness grafts?

Split-thickness grafts are generally more durable and less susceptible to trauma compared to full-thickness grafts.

What is the advantage of using split-thickness grafts in cases where wound contraction causes problems, such as contracture deformity?

The establishment of perfusion is hastened in split-thickness grafts because ingrowing vessels have less distance to ______.

Match the characteristics with the corresponding type of skin graft:

What is the primary purpose of using skin hooks, forceps, or stay sutures when cutting long skin grafts with a dermatome?

A power-driven dermatome is typically the most cost-effective option for surgeons who only perform skin grafts occasionally.

Why do many surgeons prefer to overlap the skin graft slightly beyond the edges of the recipient defect?

After graft harvest, it should be oriented on the recipient bed to match the direction of ______ of the surrounding skin.

Match the following donor site closure techniques with their descriptions:

Why is it important for a wound to be visually free from evidence of infection before applying a skin graft?

Grafts applied directly to tendons always fail due to the lack of vascularity.

What type of tissue lacking adequate vascularity will directly prevent engraftment of a graft?

According to the case series, successful acute grafting was reported following tumor resection in canine patients on the antebrachium or _________.

Match the tissue type with the reason it is unsuitable for skin grafting:

What is a recommended alternative to acute grafting for an open wound before?

Clean abrasion wounds may be grafted acutely.

What should be used instead of grafts for wounds that lack sufficient vascularity to support a graft?

What is applied to the graft site before placing a nonadherent dressing?

Skin staples are not an acceptable method of securing skin grafts to the recipient site.

What is the purpose of trimming a 2 to 3 mm margin from the free graft edge before suturing it to the wound edge?

After the edges are sutured, the graft is further secured by placing simple interrupted sutures between the ______ in the graft.

Match the described features with the post-grafting time frame:

What should be done if excess tension is encountered when closing the donor site?

Excessive ointment on the dressing is beneficial as it keeps the graft moist and further promotes graft take.

After meshing, what should be paid attention to, before placing the graft?

What is the primary purpose of the secondary layer in a skin graft bandage?

Splints are typically required for a minimum of 21 days following a skin grafting procedure to ensure complete immobilization.

What solution is recommended for gently cleaning a superficial infection on a graft surface?

The tertiary outer layer of a skin graft bandage is designed to provide protection from the environment while remaining ______.

Match each layer of a skin graft bandage with its primary function:

Which material is NOT recommended for the outer layer of a skin graft bandage?

Hyperbaric oxygen therapy (HBOT) consistently demonstrates improved graft viability and reduced inflammation in grafted wounds.

Besides a Mason metasplint, name one other method for immobilizing joints with grafts.