Evaluation of the Use of Minced Skin Grafts for Promoting Donor Site Wound Healing after Split-Thickness Skin Grafting ( A Prospective Half- Side Comparative Study )

Haredy, Mostafa Mamdoh; Abd ElMawla, Mohamed; elsayed, gamal youssef

doi:10.21608/ejprs.2025.387391.1426

	Evaluation of the Use of Minced Skin Grafts for Promoting Donor Site Wound Healing after Split-Thickness Skin Grafting ( A Prospective Half- Side Comparative Study )
The Egyptian Journal of Plastic and Reconstructive Surgery
Articles in Press, Accepted Manuscript, Available Online from 03 July 2025
Document Type: Original Article
DOI: 10.21608/ejprs.2025.387391.1426
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Authors
Mostafa Mamdoh Haredy ¹; Mohamed Abd ElMawla ²; gamal youssef elsayed³
¹Plastic Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt
²Plastic surgery department at sohag university
³plastic and reconstructive surgery department, faculty of medicine, sohag university.
Abstract
Background: Split-thickness skin grafting (STSG) is a frequently executed method for achieving wound closure. The donor site morbidity associated with split-thickness skin grafts (STSG) is often modest, however exceptions may occur. This study aimed to assess the healing results of donor sites of STSG with and without the application of residual graft fragments as minced skin grafts at the donor site. Methods: This prospective half-side comparative study was carried out on 20 patients aged from 30 to 60 years old at plastic surgery department of Sohag university in the period between Jan 2024 to Jan 2025, the collected data included causative raw area, associated morbidity, duration of wound healing and scar quality of donor site using Patient Observer Scar Assessment scale (POSAS). Results: In comparison to the untreated areas, the Minced Grafting areas exhibited significantly greater epithelialization rates and a shorter healing time (p-value < 0.001), demonstrating a statistically significant variation. According to the POSAS scores for scar quality, the Minced Grafting areas demonstrated significantly better outcomes at all follow-up points compared to the Untreated areas (p-value) < 0.001, < 0.001 For both patient and observer respectively. Conclusions: Minced skin grafts areas of donor site had shorter duration of wound healing, better scar quality and cosmetic outcomes compared to non-treated part of donor site.
Keywords
Keywords: Site Wound Healing; Minced Skin Grafts; Split-Thickness Skin Grafting


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