Utilization of Split-Thickness Skin Graft as a Treatment Option Following Mohs Micrographic Surgery

TL;DR

Split-thickness skin grafts using the pinch graft technique effectively treat difficult surgical wounds after Mohs surgery, offering rapid healing and pain relief.

Contribution

This study presents a successful case of STSG using the pinch graft technique for post-Mohs surgical wound healing on the lower leg.

Findings

The patient achieved complete re-epithelialization and reduced pain within five weeks.

STSG with the pinch graft technique proved effective for challenging post-MMS defects on the lower leg.

The technique is proposed as a rapid and efficient treatment option for difficult wound locations.

Abstract

Split-thickness skin grafting (STSG) is a frontline treatment for challenging surgical wounds, including diabetic foot ulcers, venous leg ulcers, and post-surgical defects. This study explores the use of STSG employing the pinch graft technique for hard-to-heal surgical wounds following Mohs micrographic surgery (MMS). An 83-year-old patient with a non-improving post-MMS defect on the left lower leg underwent STSG from the right inner thigh using the pinch graft technique. The grafts were secured with a mesh dressing, adhesive strips, and compression bandaging. The patient experienced complete re-epithelialization and reduced pain within five weeks, emphasizing the efficacy of STSG for challenging cases. This case underscores the importance of considering STSG, especially in challenging locations, as a rapid and efficient treatment with improved quality of life. The pinch graft technique is presented as a useful option following MMS. This study encourages Mohs surgeons to consider STSG for reconstruction in challenging locations, especially on the lower leg.

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