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Close Complex Wounds With Confidence

Tailored grafting pathways for burns, trauma, ulcers, and post-oncology defects with rehab support

Plan Your Skin Graft
97%
Graft Take Rate
Achieved with optimised wound bed and post-op care
48 hrs
Dressings Change Window
First inspect at 48 hours with sterile technique
70%
Faster Closure
Compared to secondary intention healing timelines

When to Consult

  • Non-healing wounds, ulcers, or exposed tissue unresponsive to dressings
  • Post-burn or post-tumour defects requiring durable coverage
  • Post-traumatic skin loss with tendon, bone, or hardware exposure
  • Contractures or deformities needing release and resurfacing
  • Children with congenital skin deficiencies or syndactyly repairs
  • Patients seeking cosmetic improvement after previous scars or graft failures

Why Choose Ajuda for Skin Grafting

Chronic wounds, burns, and post-cancer defects demand more than a single surgery—they require careful staging, infection control, and long-term scar care. Ajuda Hospitals brings together plastic surgeons, vascular specialists, endocrinologists, and physiotherapists to ensure grafts take well and patients return to active life without contractures or colour mismatch.

Journey From Wound to Well-Healed Skin

  1. Optimise the Wound Bed: Debridement, NPWT, and targeted antibiotics clear infection and build healthy granulation tissue.
  2. Select the Right Graft: Surgeons choose split, full-thickness, or dermal substitute combinations based on location, desired elasticity, and colour.
  3. Perform the Graft: Under anaesthesia, donor skin is harvested, carefully meshed or contoured, and anchored with sutures/staples plus bolster dressings.
  4. Protect & Rehab: Elevation, immobilisation, and gentle physiotherapy prevent shear while the graft revascularises.
  5. Refine & Maintain: Silicone sheets, compression, moisturising, laser therapy, and pigmentation correction keep skin supple and visually pleasing.

Integrated Support System

Our team coordinates:

  • ✓ Diabetology support to stabilise sugars before and after surgery
  • ✓ Nutrition counselling for protein and micronutrient optimisation
  • ✓ Physiotherapy for joint mobilisation and strengthening
  • ✓ Psychological counselling for body image and recovery motivation

Tele-follow-ups keep outstation patients from Vijayawada, Nalgonda, and Karimnagar on track with dressing changes and physiotherapy plans.

Technology & Best Practices

  • Dermatomes & Mesher Systems: Harvest consistent graft thickness and stretch coverage safely.
  • Fluorescence Imaging: Indocyanine green angiography assesses perfusion before finalising graft placement.
  • Negative-Pressure Dressings: Maintain uniform pressure, drain exudate, and boost angiogenesis.
  • Laser & PRP Refinements: Smooth hypertrophic edges and improve pigmentation during maturation.

Ready to Heal Faster?

Bring wound reports, imaging, and medication lists. Ajuda's grafting experts will map a customised plan focusing on swift closure, function, and aesthetics—helping you return to routines with confidence. Reach out today for a priority evaluation.

Diagnosis Approach

1

Wound Bed Optimisation

Debridement, infection control, and granulation assessment using clinical and photographic monitoring.

2

Investigations & Imaging

Vascular Doppler, X-ray, MRI, and labs (HbA1c, nutrition markers) to gauge healing potential.

3

Donor Site Planning

Match colour/texture and evaluate availability of thigh, buttock, arm, or supraclavicular skin.

4

Rehab & Scar Consultation

Physiotherapy, occupational therapy, and silicone/pressure garment planning pre-surgery.

Treatment Options

Split-Thickness Skin Graft (STSG)

Meshed or sheet graft harvested at 0.012–0.018 inches for large surfaces, burns, and ulcers.

Covers expansive wounds with minimal donor morbidity
60–90 minutes; first dressing at 48 hours

Full-Thickness Skin Graft (FTSG)

Full dermal graft for face, hands, and small defects where colour/texture match matters.

Superior aesthetic outcome with less contraction
90 minutes; donor site closed primarily

Dermal Substitute & Graft Combo

Integra, Biodegradable Temporising Matrix (BTM), or AlloDerm followed by STSG.

Improves contour and reduces contracture risk in deep defects
Two-stage protocol over 2–3 weeks

Negative-Pressure Wound Therapy (NPWT)

Vacuum-assisted closure before or after grafting to enhance angiogenesis and graft take.

Boosts graft integration and reduces seroma
5–7 day cycles

Fat Grafting & Laser Refinement

Autologous fat transfer and fractional CO2 laser to smooth graft edges and pigmentation.

Improves pliability and cosmetic blending
Day-care procedures spaced 6–8 weeks apart

Expected Outcomes

Treatment Timeline

Day 0–2

Graft secured with bolster; monitor for haematoma or infection

Day 5–7

Bolster removed; gentle ROM begins for joints

Week 3

Donor site re-epithelialised; compression and moisturising start

Month 3–6

Scar maturation; secondary refinements assessed

Success Metrics

  • Stable graft take without seroma or haematoma
  • Joint range preserved with minimal contracture
  • High patient satisfaction on texture, colour, and comfort