The Traditional Bolus Dressing for Good Graft Take

The Traditional Bolus Dressing for Good Graft Take
A skin graft, split or full thickness, has 48 to 72 hours at room temperature to reestablish a blood supply at the recipient site.
To achieve this, the graft needs to be as close as possible to the recipient site and without any shearing movement, to reduce the “bridging” distance between the vessels in the graft and the recipient site and to avoid disruption of the newly reconnected blood vessels.
All of this is achieved with the use of the traditional bolus dressing which exerts good pressure. This is usually removed in 2 or 3 weeks, depending on the site of grafting.
A skin graft, split or full thickness, has 48 to 72 hours at room temperature to reestablish a blood supply at the recipient site.
To achieve this, the graft needs to be as close as possible to the recipient site and without any shearing movement, to reduce the “bridging” distance between the vessels in the graft and the recipient site and to avoid disruption of the newly reconnected blood vessels.
All of this is achieved with the use of the traditional bolus dressing which exerts good pressure. This is usually removed in 2 or 3 weeks, depending on the site of grafting.

Post SCC excision defect

Post SCC excision defect

Outline of defect

Outline of defect

Donor defect

Donor defect

Donor defect closed

Donor defect closed

Graft stitched in place

Graft stitched in place

Bolus dressing completed

Bolus dressing completed

 

 

 

 

 

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