Evaluation Of Factors That Affect Acceptance Of Split Thickness Skin Graft (STSG)
Keywords:
STSG, skin graft acceptance, graft rejection, comorbidities, postoperative infection, surgical outcomesAbstract
Background: Split thickness skin grafts (STSGs) remain a cornerstone in reconstructive and burn surgery due to their versatility and effectiveness. Despite their widespread application, variability in graft acceptance persists due to several patient and procedural factors.
Methods: A prospective observational study was conducted at Krishna Institute of Medical Sciences, Karad, from May 2023 to December 2024. Thirty-five patients undergoing STSG were evaluated based on pre- and postoperative variables including age, comorbidities, addictions, and fixation techniques. Statistical analysis was performed using SPSS v20.
Results: Patients under 35 years demonstrated the highest graft acceptance rates (p=0.033). Comorbidities, particularly diabetes mellitus, significantly reduced graft survival (p=0.027). Gender and addictions did not show statistically significant correlation with graft acceptance. Postoperative infection and fixation technique played substantial roles in graft outcomes.
Conclusion: Age and systemic comorbidities are critical predictors of STSG acceptance. Proper patient selection, preoperative optimization, and infection control can enhance graft survival and patient outcomes.
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