Microskin Grafting for Vitiligo
Over the last two decades, various surgical therapies have been used in the treatment of stable refractory vitiligo, none of which are very popular due to their intrinsic drawbacks. The cellular graft technique are costly and required a good laboratory an
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Microskin Grafting for Vitiligo
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Microskin Grafting for Vitiligo
Devendra K Gupta
Microskin Grafting for Vitiligo
Devendra K Gupta Devendra Hospital and Yuva Cosmetic Clinic Bareilly, U.P. India
ISBN: 978-1-84882-604-5 e-ISBN: 978-1-84882-605-2 DOI: 10.1007/978-1-84882-605-2 Springer Dordrecht Heidelberg London New York Library of Congress Control Number: 2009933586 © Springer Science+Business Media B.V. 2009 No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Printed on acid-free paper. Springer is part of Springer Science+Business Media (www.springer.com)
Preface
This book has been written to assist not only postgraduate students, but also interested dermatologists, general practitioners, and surgeons. During the last two decades, various surgical therapies have been used in the treatment of stable refractory vitiligo, but none of them became very popular because of their intrinsic drawbacks, and thus could not be adopted as a standard procedure. There has always been a need for a technique that gives best results without complications. The commonly used surgical procedures for the treatment of vitiligo have been narrated in short and their characteristic drawbacks have been pointed out. The cellular graft technique is costly, requires a good laboratory and infrastructure, and except for being able to cover a wider vitiliginous area, the ultimate results are no better than tissue grafting technique. I used the small skin particles prepared from ultra thin or thin split thickness skin graft, the so called “microskin graft,” in the treatment of vitiligo effectively with good expansion ratio, i.e., small donor skin to treat big vitiliginous area. This procedure covers the benefit of cellular and tissue graft, but without their inherent drawbacks. The microskin graft technique has been illustrated with minimum necessary text to explain the steps. This technique is very simple to learn and execute. It is extremely cost effective and can treat very large area up to 1,500 cm2 in an operative session. Even budding surgical specialists or dermatologists can start using this technique without any difficulty. The only thing to be kept in mind before embarking surgical procedure is the stability of the vitiligo disease process. Bareilly, India
Devendra K. Gupta
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Acknowledgements
I am grateful to all my operation theatre staff who contributed to the refinement of the techniques and the quality of photographs. I have taken away the time that was really destined for my wife Mrs. Vandana Devendra and children Shruti Devendra and Samarth Devendra for the preparation of this book. Their continuous moral support and encouragement made me complete this work
