Combined method of autoallodermoplasty

In the treatment of extensive skin defects, when donor resources were insufficient for a one-step full replacement of the lost dermal cover, we used a new method of plastic surgery, which consists in combining the patient's skin and the donor's. A skin strip devoid of fatty tissue was cut out from a patient (its dimensions were calculated taking into account the area of ​​the wound surface), which was dissected with a scalpel, a straight razor or a special microdermatome into transverse auto-micrografts with a thickness of 0.1 to 0.5 mm. This significantly increased the area of ​​the main flap. The resulting grafts had two lateral surfaces capable of fusion with tissues. They contain all the elements of the skin, which allows us to call them full layer. The grafts were placed on the granulating surface with their lateral side with their moderate spreading at a distance of 4 mm from each other in a checkerboard pattern.