Articles Tập 67 Số CĐ15 25/09/2026

LARGE FULL-THICKNESS SKIN GRAFT FOR BURN SCARS AND PIGMENTED LESIONS TREATMENT

Phan Thi Thuc Trang, Hoang Thanh Tuan, Do Trung Quyet, Tong Thanh Hai
DOI: 10.52163/yhc.v67iCD15.6800
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Abstract

Objectives: To evaluate the clinical outcomes of large full-thickness skin graft in the treatment of post-burn scars and pigmented lesions.

Subjects and methods: A prospective descriptive longitudinal study was conducted in 10 patients undergoing large full-thickness skin graft at Le Huu Trac National Burn Hospital between January 2023 and September 2023.

Results: Among the 10 patients, 6 were male and 4 were female. Post-burn scars accounted for 7 cases, while pigmented lesions accounted for 3 cases. Defect size ranged from 320 to 500 cm². The groin-thigh region was the most common donor site (80%), followed by the abdominal region (20%). Partial hematoma beneath the graft was observed in 1 patient (10%). No graft-site infection was recorded. Epidermolysis at the first dressing change was observed in 20% of patients. Good graft take was achieved in 80% of cases, and no cases of poor graft survival were identified. Most grafts survived completely, with only one patient requiring additional split full-thickness skin grafting.

Conclusions: Large full-thickness skin grafting appears to be a feasible option for the treatment of post-burn scars and pigmented lesions, with a relatively high graft survival rate and a low incidence of postoperative complications.

Keywords
Large full-thickness skin graft, post-burn scars, pigmented lesions.
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