Avoiding Skin Grafts: The Local Perforator Flap in Cutaneous Defects Covering

Objectives: Since its creation the first dermatome of 1939 skin grafts have become the most common method of wound closure. This method has long been called the “gold standard” of skin plastic. But, after surgery by attached split-thickness skin graft, does not fully recreate the lost skin. And the increased requirements of patients for the quality of life parameters require the improvement of plastic surgery in this aspect. To improve the efficiency of wound closure surgery, we can select cases where it is possible to avoid skin graft transplantation. Instead, close the wounds by the local perforator flaps, which will restore the skin to the most similar to the lost. Methods: In the first group (25 patients), the V-Y local flaps method was used. In the second group (28 patients) the Keystone local perforator flaps were used. In the third group (30 patients) skin grafts cover was used. Evaluated the rate of wound healing, the properties of the restored skin and the patient’s quality of life