RE: When they do skin grafts, what if they don't have enough skin?

I have seen, on television, a procedure for growin a patient’s own skin, for covering large areas during major surgery. It was on a program showing how doctor’s were planning the seperation of conjoined twins.

A slender balloon was inserted under the skin of the patients and very gradually inflated. The skin expanded to cover what came to look like a huge lump or tumor. This could be cut away and used to patch the exposed areas from the seperation.

While it is true that, if there was any question about the degree of “off” to which a future skin graft is removed from the body, “sheer” would be one acceptable answer, I suspect that the word the writers are looking for is “shear.”

When they shear off a part of your body, it is probably not sheer delight.

If you’re burned over only 49%, you have enough for a graft. :eek::eek::eek:

When I had the graft on my leg, it was sheer, only one or two dermal layers.

They can use cadaver grafts or artificial grafts. Autotransplants work best, but you do what you have to.

There’s also a device that cuts the graft into a net-like structure, which is then placed over the denuded area. The skin cells then grow together.

I worked with a guy who had fallen in an acid tank while repairing a chrome plating line. He had extensive burns. I brought him up to tell you something the burn nurses told him.

“Go ahead and scream. Holding it back will not stop the pain. Nothing will. The pain will be intense, and it will hurt like that until we get you healed.” It was the hard truth. You cannot sugar-coat extreme pain, and the patient won’t believe it anyway.

I’ll ask that the thread I started on this report, on June 22, be closed, since this is the one that is getting the responses.

http://boards.straightdope.com/sdmb/showthread.php?t=796528

I just merged them.

I have heard for many years that Donald Trump had this done, to remove his bald spot. Yes, I am completely serious about this. :eek:

It works well for people who know they are going to have a reconstructive procedure of some kind; breast reconstruction is the first one that comes to mind.

A woman who had two young children and had also had a small third-degree burn said that physical therapy afterwards was the worst part of it. She said, “I would rather have 20 babies in a row than go through that again.” I don’t think she had to have a graft - the area wasn’t very big - but she did have scar tissue over a major joint, and that had to be stretched and loosened or she wouldn’t have been able to walk normally.

(Didn’t make it in time for an edit) My uncle, who is in his 70s, has a large scar on his forearm. When I was a little kid, as little kids will do, I asked what had happened to him, and he said, “I had a tattoo removed.” His whole demeanor said, “Don’t you EVER get one!” :o My parents never saw it and my dad said he probably doesn’t want to know what it was; this would have been in the 1960s, and he had to have the skin cut off and replaced with a graft. :eek:

I was a patient on a burn unit with a man who had been burned on 95% of his body. Basically, everything except the top of his head. Cells were taken from his head and cultured in a California lab. After several months, the pig skin grafts that were keeping him alive were replaced with sheets of his own cloned skin.

Don’t we have morphine anymore or other stuff like that?

There are times morphine doesn’t even touch it.
That’s what fentanyl is for.

They were already fighting the pain with everything they had. The blessings of the poppy can only take you so far.

That doesn’t always work.

Some places use ketamine, especially on children, so they don’t remember the pain later on.

I was administered ketamine as an adult. I suppose the pain I don’t remember is a blessing.

The ketamine side effects were terrifying.

I realize that this thread is starting to drift but why are medically induced comas more common for this sort of thing?