Debridement & Skin Grafts

7/26/2019 Debridement & Skin Grafts

http://slidepdf.com/reader/full/debridement-skin-grafts 1/20

DEBRIDEMENT & SKINGRAFTS

Dila Larasati 130112140561



Debrie!e"t



DEBRIDEMENT

Debrie!e" !er#$a%a" s#at# ti"a%a"e%sisi a"' bert#(#a" #"t#% !e!b#a"'

(ari"'a" "e%r)sis !a#$#" ebris a"'

!e"'*ala"'i $r)ses $e"e!b#*a" l#%aa" $)te"sial #"t#% ter(ai i"+e%si



Ti$e

A#t)lti, Debrie!e"t

-*e!i,al Debrie!e"t

Me,*a"i,al Debrie!e"t

S#r'i,al Debrie!e"t



-*e!i,al Debrie!e"t

Meli$#ti $e"''#"aa" sale$ t)$i%al #"t#%!era"'sa"' ebrie!e" se$erti e".i!%)la'e"ase

Se$erti a#t)lisis ebrie!e" i"iila%#%a" setela* ebrie!e" s#r'i%alata# ebrie!e" a#t)liti% a"

!e%a"i%al



S#r'i,al Debrie!e"t

Debrie!e"t s#r'i%al aala* $e"'a"'%ata" (ari"'a" a7ital e"'a" !e"''#"a%a" s%al$el'#"ti"' ata# i"str#!e"t ta(a! lai"

Debrie!e"t s#r'i%al !er#$a%a" sta"ar$era8ata" #"t#% !e"'a"'%at (ari"'a" "e%r)ti%

Ke#"t#"'a" ebrie!e"t s#r'i%al aala* %are"abersi+at sele%ti+9 *a"a ba'ia" a7ital a"'ib#a"'

Debrie!e"t s#r'i%al e"'a" ,e$at!e"'a"'%at (ari"'a" !ati a" a$at!e"'#ra"'i 8a%t#



Ta*a$a"

Dila%#%a" a"estesi l)%al $aa l#%a a" bila $erl#bisa ila%#%a" $e",#%#ra" ra!b#t se%itar l#%aebrie!e"

-#,i l#%a e"'a" sab#" /sa:)" a" air %e!#ia"

iri'asi e"'a" ,aira" Na-l 0; < se*i"''a tia% aasab#" a"' tersisa $aa l#%a

B#a"' se!#a be"a asi"' a"' ite!#%a" $aal#%a se$erti ta"a* r#!$#t %a# %a,a ata# ser$i*a"

$a%aia" a" %e!#ia" beri%a" a"tise$ti% Ter%aa"' i$erl#%a" (#'a #"t#% !e!$erl#as l#%a

se,ara l)"'it#i"al #"t#% !eli*at se!#a %er#sa%a"a"' ter(ai $aa (ari"'a"



La%#%a" e%sisi ti$is $aa te$i l#%a

Nilai se!#a (ari"'a" a7ital e"'a"!e"ilai 8ar"a a"' lebi* 'ela$ $aa

(ari"'a" ")r!al %)"siste"si a"' lebi*ra$#* a" !#a* terle$as %)"tra%tilitasa" tera%*ir e"'a" !e"ilai %e!a!$#a"$erara*a" ari (ari"'a" terseb#t

B#a"' se!#a (ari"'a" a7ital terseb#t aril#%a



S%i" Gra+ts



SKIN GRAFTS

Se,ara #!#! s%i" 'ra+ti"' ter!as#% sala* sat#ti"a%a" tra"s$la"tasi ait# $e!i"a*a" s#at#)r'a" %e te!$at lai" a"' !e!b#t#*%a""a

S%i" 'ra+ti"' aala* ti"a%a" !e!i"a*%a"

seba'ia" ata# sel#r#* tebal %#lit ari sat# te!$at%e te!$at lai" se*i"''a *i#$ i te!$at a"' bar#terseb#t a"' ib#t#*%a" s#$lai ara* bar# #"t#%!e"(a!i" %e*i#$a" %#lit a"' i$i"a*%a"

terseb#t Ba'ia" %#lit a"' ia"'%at $aa ti"a%a" i"i aala*

e$ier!is beserta seba'ia" ata# sel#r#* la$isa"er!is ter'a"t#"' $aa %etebala" %#lit a"'ib#t#*%a"

L#%a a"' !e!b#t#*%a" s%i" 'ra+t aala* se!#a



Klasi%asi



S$lit=t*i,%"ess 'ra+ts

Ma" )+ t*e ,*ara,teristi,s )+ a s$lit=t*i,%"ess 'ra+tare eter!i"e b t*e a!)#"t )+ er!is $rese"tLess er!is tra"slates i"t) less $ri!ar ,)"tra,ti)"/t*e e'ree t) 8*i,* a 'ra+t s*ri"%s i" s#r+a,e area

a+ter *ar7esti"' a" be+)re 'ra+ti"' !)rese,)"ar ,)"tra,ti)" /t*e e'ree t) 8*i,* a 'ra+ts*ri"%s #ri"' *eali"' a" better ,*a",e )+ 'ra+ts#r7i7al

T*i" s$lit 'ra+ts *a7e l)8 $ri!ar ,)"tra,ti)" *i'*se,)"ar ,)"tra,ti)" a" *i'* reliabilit )+ 'ra+tta%e )+te" e7e" i" i!$er+e,t re,i$ie"t bes T*i"'ra+ts *)8e7er te" t) *eal 8it* ab")r!al$i'!e"tati)" a" $))r #rabilit ,)!$are 8it*

t*i,% s$lit 'ra+ts a" +#ll=t*i,%"ess 'ra+ts



F#ll=t*i,%"ess 'ra+ts

F#ll=t*i,%"ess s%i" 'ra+ts i",l#e t*e e$ier!isa" t*e ,)!$lete laer )+ er!is

T*e s#b,#ta"e)#s tiss#e is ,are+#ll re!)7e+r)! t*e ee$ s#r+a,e )+ t*e er!is t) !ai!i.et*e $)te"tial +)r e"'ra+t!e"t

F#ll=t*i,%"ess 'ra+ts are ass),iate 8it* t*e least

se,)"ar ,)"tra,ti)" #$)" *eali"' t*e best,)s!eti, a$$eara",e a" t*e *i'*est #rabilit

T*ese 'ra+ts re>#ire $risti"e 8ell=7as,#lari.ere,i$ie"t bes 8it*)#t ba,terial ,)l)"i.ati)"$re7i)#s irraiati)" )r atr)$*i, 8)#" tiss#e



-)!$)site 'ra+ts

-)!$)site tiss#e 'ra+ts are )")r tiss#e,)"tai"i"' !)re t*a" (#st e$ier!is a"er!is

T*e ,)!!)"l i",l#e s#b,#ta"e)#s+at ,artila'e a" $eri,*)"ri#! a"!#s,le

Alt*)#'* less ,)!!)" t*a" s%i" 'ra+ts'ra+ts )+ t*is t$e are $arti,#larl #se+#li" sele,t ,ases )+ "asal re,)"str#,ti)"



S%i" 'ra+t ta%e ),,#rs i" t*ree $*ases?i!bibiti)" i")s,#lati)" a"re7as,#lari.ati)"

@las!ati, i!bibiti)" re+ers t) t*e rst 24t) 4 *)#rs a+ter s%i" 'ra+ti"' #ri"'8*i,* ti!e a t*i" l! )+ bri" a"$las!a se$arates t*e 'ra+t +r)! t*e#"erli"' 8)#" be



T*ese $*ases are 'e"erall ,)!$lete b4 t) 5 as a+ter 'ra+t $la,e!e"t

D#ri"' t*ese i"itial +e8 as t*e 'ra+t is

!)st s#s,e$tible t) i"ter+ere",e i"e"'ra+t!e"t ,a#se b i"+e,ti)"!e,*a"i,al s*ear +)r,es a" *e!at)!a)r ser)!a



Teri!a%asi*

Debridement & Skin Grafts

Documents

Transcript of Debridement & Skin Grafts