Skin grafts 1: theory, procedure and management of graft sites in the community

The skin may not have the same the dramatic appeal as many of the other organs, such as the heart, however it plays a vital part in identifying each of us as a unique individual. When this protective outer barrier is damaged the consequences may be far reaching in both psychological and physical terms. Not all wounds require skin grafting – small, superficial wounds will heal by secondary intention and dressings. However, use of skin grafting to restore skin integrity for large surface wounds such as burns, reduces the risk of infection and enables the individual to resume normal daily activities more rapidly. This article explores the process of skin grafting and subsequent care of skin graft wound sites.