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Graft (surgery)

Grafting refers to a surgical procedure to move tissue from one site to another on the body, or from another creature, without bringing its own blood supply with it. Instead, a new blood supply grows in after it is placed. A similar technique where tissue is transferred with the blood supply intact is called a flap. In some instances, a graft can be an artificially manufactured device. Examples of this are a tube to carry blood flow across a defect or from an artery to a vein for use in hemodialysis.

Graft (surgery)
MeSHD019737
[edit on Wikidata]

Classification edit

Autografts and isografts are usually not considered as foreign and, therefore, do not elicit rejection. Allografts and xenografts may be recognized as foreign by the recipient and rejected.[1]

  • Autograft: graft taken from one part of the body of an individual and transplanted onto another site in the same individual, e.g., skin graft.
  • Isograft: graft taken from one individual and placed on another individual of the same genetic constitution, e.g., grafts between identical twins.
  • Allograft: graft taken from one individual placed on a genetically non-identical member of the same species.
  • Xenograft: graft taken from one individual placed on an individual belonging to another species, e.g., animal to human.

Types of grafting edit

The term grafting is most commonly applied to skin grafting, however many tissues can be grafted: skin, bone, nerves, tendons, neurons, blood vessels, fat, and cornea are tissues commonly grafted today.

 
The grafting process places fresh skin over a wound with damaged skin.

Specific types include:[citation needed]

  • Skin grafting is often used to treat skin loss due to a wound, burn, infection, or surgery. In the case of damaged skin, it is removed, and new skin is grafted in its place. Skin grafting can reduce the course of treatment and hospitalization needed, and can also improve function and appearance. There are two types of skin grafts:
  1. Split-thickness skin grafts [epidermis + part of the dermis]
  2. Full-thickness skin grafts [epidermis + entire thickness of the dermis]

Indications edit

Reasons for failure edit

  • Hematoma development when the graft is placed over an active bleed
  • Infection
  • Seroma development
  • Shear force disrupting growth of new blood supply
  • Inappropriate bed for new blood supply to grow from, such as cartilage, tendons, or bone

References edit

  1. ^ Textbook of Microbiology, R. Vasanthakumari, p166, 2007, New Delhi, ISBN 978-81-7225-234-2
  2. ^ Le BT, Borzabadi-Farahani A (July 2014). "Simultaneous implant placement and bone grafting with particulate mineralized allograft in sites with buccal wall defects, a three-year follow-up and review of literature". Journal of Cranio-Maxillo-Facial Surgery. 42 (5): 552–9. doi:10.1016/j.jcms.2013.07.026. PMID 24529349.
  3. ^ Rosing JH, Wong G, Wong MS, Sahar D, Stevenson TR, Pu LL (October 2011). "Autologous fat grafting for primary breast augmentation: a systematic review". Aesthetic Plast Surg. 35 (5): 882–90. doi:10.1007/s00266-011-9691-2. PMID 21455825. S2CID 13302250.
  4. ^ Asserson DB, Kulinich AG, Orbay H, Sahar DE (May 2019). "Differences in Complication Rates of Gluteoplasty Procedures That Utilize Autologous Fat Grafting, Implants, or Local Flaps". Ann Plast Surg. 82 (5S Suppl 4): S342–S344. doi:10.1097/SAP.0000000000001765. PMID 30570567. S2CID 58566838.
  5. ^ "Skin graft". NIH. Retrieved 18 May 2015.
  6. ^ Strong AL, Rubin JP, Kozlow JH, Cederna PS (December 2019). "Fat Grafting for the Treatment of Scleroderma". Plast Reconstr Surg. 144 (6): 1498–1507. doi:10.1097/PRS.0000000000006291. PMID 31764674. S2CID 208277267.


graft, surgery, this, article, about, medical, procedure, form, political, corruption, graft, politics, other, uses, graft, grafting, refers, surgical, procedure, move, tissue, from, site, another, body, from, another, creature, without, bringing, blood, suppl. This article is about the medical procedure For the form of political corruption see Graft politics For other uses see Graft Grafting refers to a surgical procedure to move tissue from one site to another on the body or from another creature without bringing its own blood supply with it Instead a new blood supply grows in after it is placed A similar technique where tissue is transferred with the blood supply intact is called a flap In some instances a graft can be an artificially manufactured device Examples of this are a tube to carry blood flow across a defect or from an artery to a vein for use in hemodialysis Graft surgery MeSHD019737 edit on Wikidata Contents 1 Classification 2 Types of grafting 3 Indications 4 Reasons for failure 5 ReferencesClassification editAutografts and isografts are usually not considered as foreign and therefore do not elicit rejection Allografts and xenografts may be recognized as foreign by the recipient and rejected 1 Autograft graft taken from one part of the body of an individual and transplanted onto another site in the same individual e g skin graft Isograft graft taken from one individual and placed on another individual of the same genetic constitution e g grafts between identical twins Allograft graft taken from one individual placed on a genetically non identical member of the same species Xenograft graft taken from one individual placed on an individual belonging to another species e g animal to human Types of grafting editThe term grafting is most commonly applied to skin grafting however many tissues can be grafted skin bone nerves tendons neurons blood vessels fat and cornea are tissues commonly grafted today nbsp The grafting process places fresh skin over a wound with damaged skin Specific types include citation needed Skin grafting is often used to treat skin loss due to a wound burn infection or surgery In the case of damaged skin it is removed and new skin is grafted in its place Skin grafting can reduce the course of treatment and hospitalization needed and can also improve function and appearance There are two types of skin grafts Split thickness skin grafts epidermis part of the dermis Full thickness skin grafts epidermis entire thickness of the dermis Bone grafting is used in dental implants as well as other instances The bone may be autologous typically harvested from the iliac crest of the pelvis or banked bone allograft 2 Vascular grafting is the use of transplanted or prosthetic blood vessels in surgical procedures Ligament grafting repair as with anterior cruciate ligament reconstruction or ulnar collateral ligament reconstruction Fat graft is the process of harvesting adipose tissue through liposuction processing centrifugation and injection into soft tissue for improving coverage volume and contour typically in the breast buttock and face 3 4 Indications editLarge amount of skin loss due to infections Burns Skin cancer surgery 5 Chronic connective tissue disease 6 Reasons for failure editHematoma development when the graft is placed over an active bleed Infection Seroma development Shear force disrupting growth of new blood supply Inappropriate bed for new blood supply to grow from such as cartilage tendons or boneReferences edit Textbook of Microbiology R Vasanthakumari p166 2007 New Delhi ISBN 978 81 7225 234 2 Le BT Borzabadi Farahani A July 2014 Simultaneous implant placement and bone grafting with particulate mineralized allograft in sites with buccal wall defects a three year follow up and review of literature Journal of Cranio Maxillo Facial Surgery 42 5 552 9 doi 10 1016 j jcms 2013 07 026 PMID 24529349 Rosing JH Wong G Wong MS Sahar D Stevenson TR Pu LL October 2011 Autologous fat grafting for primary breast augmentation a systematic review Aesthetic Plast Surg 35 5 882 90 doi 10 1007 s00266 011 9691 2 PMID 21455825 S2CID 13302250 Asserson DB Kulinich AG Orbay H Sahar DE May 2019 Differences in Complication Rates of Gluteoplasty Procedures That Utilize Autologous Fat Grafting Implants or Local Flaps Ann Plast Surg 82 5S Suppl 4 S342 S344 doi 10 1097 SAP 0000000000001765 PMID 30570567 S2CID 58566838 Skin graft NIH Retrieved 18 May 2015 Strong AL Rubin JP Kozlow JH Cederna PS December 2019 Fat Grafting for the Treatment of Scleroderma Plast Reconstr Surg 144 6 1498 1507 doi 10 1097 PRS 0000000000006291 PMID 31764674 S2CID 208277267 Retrieved from https en wikipedia org w index php title Graft surgery amp oldid 1203150277, wikipedia, wiki, book, books, library,

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