Microskin Grafting for Vitiligo

This atlas covers the surgical procedure of microskin grafting to repigmentation of vitiligo. It offers an extensive selection of images of operative steps and pays special attention to regional anesthesia techniques.

This book has been written to assist not only postgraduate students, but also int- ested dermatologists, general practitioners, and surgeons. During the last two decades, various surgical therapies have been used in the tre- ment of stable refractory vitiligo, but none of them became very popular because of their intrinsic drawbacks, and thus could not be adopted as a standard procedure. There has always been a need for a technique that gives best results without complications. The commonly used surgical procedures for the treatment of vitiligo have been narrated in short and their characteristic drawbacks have been pointed out. The c- lular graft technique is costly, requires a good laboratory and infrastructure, and except for being able to cover a wider vitiliginous area, the ultimate results are no better than tissue grafting technique. I used the small skin particles prepared from ultra thin or thin split thickness skin graft, the so called microskin graft, in the tre- ment of vitiligo effectively with good expansion ratio, i.e., small donor skin to treat big vitiliginous area. This procedure covers the bene? t of cellular and tissue graft, but without their inherent drawbacks. The microskin graft technique has been illustrated with minimum necessary text to explain the steps. This technique is very simple to learn and execute. It is extremely 2 cost effective and can treat very large area up to 1,500 cm in an operative session.

Provides information on the application of an emerging technique in cosmetic surgery High quality images of operative steps of the surgical procedure Offers high levels of technical detail unseen in related work Clear and concise demonstrations of regional anesthesia blocks Original patient photographs and equipment are used to depict the practical detail and real surgical outcomes

Autorentext

Dr Gupta has been practicing, Plastic, Cosmetic and Reconstructive surgery since 1984. He is invited for his lectures on plastic surgery and regional anesthesia all over Northern India and has teaching programmes for Plastic Surgeons (Hypospadias, Pinna re-construction, Burn contractures, Rhinoplasty), Occuloplastic Surgeons (Eye tumours and Ptosis, Lid re-construction), Gynecologists (Reconstructive vaginal surgery and Cosmetics Gynecological surgery), Anesthesiologists (Techniques in Regional Anesthesia) and Dermatologists (Dermato Surgical Techniques, IPL & Laser Procedures).

Klappentext

Over the last two decades, various surgical therapies have been used in the treatment of stable refractory vitiligo, none of which are very popular due to their intrinsic drawbacks. The cellular graft technique are costly and required a good laboratory and infrastructure and the ultimate results are no better than tissue grafting technique except that these can cover a wide vitiliginous area. Thus no procedure can claim to be the gold standard and, consequently, there is always a need for the technique that gives best results without complications.

Microskin Grafting For Vitiligo describes the technique of using small skin particles prepared from ultra thin or thin split thickness skin grafts in the effective treatment of vitiligo. The technique benefits from a good expansion ratio, e.g. small donor skin to treat a large vitiliginous area. The book's emphasis is on illustrating the concepts using numerous images and minimal text and thus enables a highly practical evaluation of the procedure. The book highlights that the technique is simple to learn and execute, cost effective, and can treat large areas in one operative session. Therefore, the book will be of interest to not only postgraduate students but also the clinical dermatologist, general practitioner and surgeon.

Inhalt
Surgical Management.- Surgical Therapies.- Concept of the Stability of Vitiligo.- Classification of Surgical Treatment Modalities.- Excision with Primary Closure.- Thin and Ultra Thin Split Thickness Skin Grafts (STSG-UT, STSG-T).- Split Thickness Skin Graft-Suction Blister Epidermis (STSG-BE).- Full Thickness Skin Graft (FTSG).- Cellular Grafts.- Microskin Grafting.- What Is a Microskin Graft?.- Preparation of Recipient Vitiliginous/Leukodermic Areas.- Superficial Dermabrasion of Vitiliginous Skin.- Donor Area Selection.- Skin Graft Harvesting.- Microskin Grafting Tools.- Techniques of Microskin Grafts Distribution on Ablated Vitiliginous Areas.- Step-by-Step Microskin Grafting Techniques.- Microskin Grafting by Direct Spread Method.- Microskin Grafting by Floatation Method.- Microskin Grafting by Spraying Method in Extensive Vitiligo Management.- Surgical Outcomes.- Complications Involved in Various Surgical Techniques.- Outcome of Various Techniques of Vitiligo Surgery.