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Types of skin grafting Skin Grafting - Skin grafting is a type of graft surgery involving the transplantation of skin. 1.

.) Homografting(allografting) - Is the placement of skin from cadavers or a donor on the cleaned burn site. These grafts do not grow but provide a protective covering for the area. 2.) Heterografting(xenografting) - It is a type of skin grafting that uses the skin of small children or the skin of a pig may be used. 3.) Autografting - It is a process in which a layer of skin of both epidermis and a part of the dermis is removed from the distal and placed at the prepared burn site, where it will grow and replace the burned skin. 4.) Mesh Grafting - It is a strip of partial thickness skin that is slit at intervals so that it can be stretched to cover a large area

Cultured Epithelium is derived from a full-thickness skin biopsy. This can be grown into a coherent sheet or supply an unlimited source for autografts. Larger areas may require mesh grafts. The advantage of grafting is that it reduces fluid and electrolyte loss, pain, and the chance of infection.

Care of the skin Graft After The grafting procedure, the area is covered by a bulky dressing. So that the growth of the newly adhering cells will not be disrupted. The donor site on the childs body is also covered by a gauze dressing. Both donor and graft dressings should be observe for fluid drainage and odor. Observe whether the child is in pain or not which can indicate infection. Monitor the temperature every 4 hours.

Physical therapy of burn Second and third therapy burns may receive open treatment, leaving the burned area exposed to the air, or a close treatment, in which the burned area is covered with an antibacterial cream and many layers of gauze. Methods: a.) Open burn is exposed to air, used for superficial burns or body parts that are prone to infection, such as perineum. Advantages: Allows frequent inspection of site; allows child to follow healing process. Disadvantages: Requires strict isolation to prevent infection; area may scrape and bleed easily and impede healing. b.) Closed Burn is covered with nonadherent gauze, used for moderate and severe burns. Advantages: Provides better protection from injury; is easier to turn and position child; allows child more freedom to play Disadvantages: Requires dressing changes that are painful; possibility of infection may increase because of dark moist environment. Topical Therapy - Silver sulfadiazine is the drug of choice for burn therapy to limit infection at the burn site for children. It is applied as a paste to the burn, and the area is covered with a few layers of mesh gauze.