Graft (surgery)

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Medical grafting
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Graft (surgery)
MeSHD019737

Grafting refers to a

blood supply with it. Instead, a new blood supply grows in after it is placed. A similar technique where tissue is transferred with the blood supply intact is called a flap. In some instances, a graft can be an artificially manufactured device. Examples of this are a tube to carry blood flow across a defect or from an artery to a vein for use in hemodialysis
.

Classification

Autografts and isografts are usually not considered as foreign and, therefore, do not elicit rejection. Allografts and xenografts may be recognized as foreign by the recipient and rejected.[1]

  • Autograft
    : graft taken from one part of the body of an individual and transplanted onto another site in the same individual, e.g., skin graft.
  • identical twins
    .
  • Allograft
    : graft taken from one individual placed on a genetically non-identical member of the same species.
  • Xenograft
    : graft taken from one individual placed on an individual belonging to another species, e.g., animal to human.

Types of grafting

The term grafting is most commonly applied to

tissues commonly grafted today.

The grafting process places fresh skin over a wound with damaged skin.

Specific types include:[citation needed]

  1. Split-thickness skin grafts [epidermis + part of the dermis]
  2. Full-thickness skin grafts [epidermis + entire thickness of the dermis]

Indications

Reasons for failure

  • Hematoma development when the graft is placed over an active bleed
  • Infection
  • Seroma development
  • Shear force disrupting growth of new blood supply
  • Inappropriate bed for new blood supply to grow from, such as cartilage, tendons, or bone

References