57.9.1 PINCH GRAFTING

INDICATIONS (1) Pressure areas, such as a patient’s heel or his Achilles tendon. (2) Health centre practice.

EQUIPMENT Local anaesthetic equipment (A 5.4). An intramuscular needle, a razor blade, and a pair of long straight artery forceps or a scalpel.

METHOD Pick up the skin in a needle and slice off a 4 to 5 mm piece of skin. Lay it on the granulating area. Go on until the area is mostly covered.

Alternatively, cut the pinch grafts in one long strip from the patient’s thigh, then excise the whole perforated strip and suture its edges. This will greatly improve the appearance of donor area.

Cover the pinch grafts with a sheet of vaseline gauze, and then apply dressings and a bandage as above.