Single-Stage Coverage of Exposed Critical Structures With Intact Decellularized Fish Skin and Simultaneous Epidermal Autograft Application: The “Sandwich” Technique
Coverage of exposed tendon and bone in upper-extremity injuries presents a reconstructive challenge, often requiring staged procedures or complex microsurgical reconstruction techniques. We present a case series using a single-stage approach with intact decellularized fish skin graft laminated with...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Journal of Hand Surgery Global Online |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514124001944 |
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| author | Katherine C. Benedict, MD John M. Sullivan, MD Laura I. Galarza, MD Marc E. Walker, MD, MBA |
| author_facet | Katherine C. Benedict, MD John M. Sullivan, MD Laura I. Galarza, MD Marc E. Walker, MD, MBA |
| author_sort | Katherine C. Benedict, MD |
| collection | DOAJ |
| description | Coverage of exposed tendon and bone in upper-extremity injuries presents a reconstructive challenge, often requiring staged procedures or complex microsurgical reconstruction techniques. We present a case series using a single-stage approach with intact decellularized fish skin graft laminated with a simultaneous split-thickness skin autograft. This technique aims to reduce the number of surgeries and decrease time to complete healing. Two cases are reported: a dog-bite forearm injury with exposed extensor tendons devoid of peritenon and a work-related crush injury of the hand with exposed metacarpal fracture. Following definitive debridement, both cases ultimately achieved successful wound healing with simultaneous placement of decellularized fish skin graft laminated with split-thickness skin autograft without further interventions. |
| format | Article |
| id | doaj-art-b08c2f44bc834687bbd36d01b5ac7ff0 |
| institution | Kabale University |
| issn | 2589-5141 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj-art-b08c2f44bc834687bbd36d01b5ac7ff02025-01-26T05:04:39ZengElsevierJournal of Hand Surgery Global Online2589-51412025-01-0171109113Single-Stage Coverage of Exposed Critical Structures With Intact Decellularized Fish Skin and Simultaneous Epidermal Autograft Application: The “Sandwich” TechniqueKatherine C. Benedict, MD0John M. Sullivan, MD1Laura I. Galarza, MD2Marc E. Walker, MD, MBA3Corresponding author: Katherine C. Benedict, MD, Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, 2500 N. State St., Jackson, MS 39216.; Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MSDivision of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MSDivision of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MSDivision of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MSCoverage of exposed tendon and bone in upper-extremity injuries presents a reconstructive challenge, often requiring staged procedures or complex microsurgical reconstruction techniques. We present a case series using a single-stage approach with intact decellularized fish skin graft laminated with a simultaneous split-thickness skin autograft. This technique aims to reduce the number of surgeries and decrease time to complete healing. Two cases are reported: a dog-bite forearm injury with exposed extensor tendons devoid of peritenon and a work-related crush injury of the hand with exposed metacarpal fracture. Following definitive debridement, both cases ultimately achieved successful wound healing with simultaneous placement of decellularized fish skin graft laminated with split-thickness skin autograft without further interventions.http://www.sciencedirect.com/science/article/pii/S2589514124001944AutograftCoverageSingle-StageSplit-ThicknessXenograft |
| spellingShingle | Katherine C. Benedict, MD John M. Sullivan, MD Laura I. Galarza, MD Marc E. Walker, MD, MBA Single-Stage Coverage of Exposed Critical Structures With Intact Decellularized Fish Skin and Simultaneous Epidermal Autograft Application: The “Sandwich” Technique Journal of Hand Surgery Global Online Autograft Coverage Single-Stage Split-Thickness Xenograft |
| title | Single-Stage Coverage of Exposed Critical Structures With Intact Decellularized Fish Skin and Simultaneous Epidermal Autograft Application: The “Sandwich” Technique |
| title_full | Single-Stage Coverage of Exposed Critical Structures With Intact Decellularized Fish Skin and Simultaneous Epidermal Autograft Application: The “Sandwich” Technique |
| title_fullStr | Single-Stage Coverage of Exposed Critical Structures With Intact Decellularized Fish Skin and Simultaneous Epidermal Autograft Application: The “Sandwich” Technique |
| title_full_unstemmed | Single-Stage Coverage of Exposed Critical Structures With Intact Decellularized Fish Skin and Simultaneous Epidermal Autograft Application: The “Sandwich” Technique |
| title_short | Single-Stage Coverage of Exposed Critical Structures With Intact Decellularized Fish Skin and Simultaneous Epidermal Autograft Application: The “Sandwich” Technique |
| title_sort | single stage coverage of exposed critical structures with intact decellularized fish skin and simultaneous epidermal autograft application the sandwich technique |
| topic | Autograft Coverage Single-Stage Split-Thickness Xenograft |
| url | http://www.sciencedirect.com/science/article/pii/S2589514124001944 |
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