Author(s)

Mahamadou Coulibaly^1,2*, Bréhima Bengaly^1,3, Drissa Ouattara³, Traoré Drissa^1,3, Diallo Siaka³, Souleymane Sanogo³, Birama Togola^1,3, Nouhoum Ongoiba^1,3

¹Faculty of Medicine, University of Science, Technique and Technologies of Bamako, Bamako, Mali.
²Department of Surgery, Koutiala Hospital, Bamako, Mali.
³Department of Surgery, University Hospital Center Point G, Bamako, Mali.

Aim: To analyze the practice of skin grafting in the surgery department “B” of the CHU of Point “G” in Bamako. Patients and Methods: This was a retrospective and prospective study carried out between 1980 and 2014, covering all patients who underwent a skin graft and hospitalized. It covered all patients who underwent a skin transplant and were hospitalized in the department during the study period. Result: There were 50 patients including 25 women and 25 men. The mean age was 25.2 ± 19 years. The average duration of lesion evolution was 1 year. The lesions to be grafted were located in the lower limbs in 60%. The average area of substance loss was 13.2 cm². The indication for skin graft was asked for loss of substance following scar bridles in 40%, ulcerative-necrotic wounds of infectious or traumatic origin (32%), malignant skin tumor (14%). In pathology, there were 5 cases of malignant melanoma and 2 cases of squamous cell carcinoma. Thin skin grafting was the most used technique (62%). The postoperative follow-ups were simple in 94%. There were 3 cases of graft necrosis. The average length of hospital stay was 28 days. The esthetic result was judged satisfactory in 84% of the cases (n = 42), average in 14% of the cases (n = 7) and unsatisfactory in 2% of the cases (n = 1). The sensitivity was good in 36 patients (72%), average in 12 patients (24%) and poor in 2 patients (4%). Conclusion: They mainly affect young people. The reduction of accidents on the public highway, good management of burn injuries, wounds and good hygiene of the population will considerably reduce the rate of its affections.

Skin Graft, Surgery, Postoperative Operations

Coulibaly, M. , Bengaly, B. , Ouattara, D. , Drissa, T. , Siaka, D. , Sanogo, S. , Togola, B. and Ongoiba, N. (2020) Skin Graft in the Surgery Department “B” of the CHU du Point “G” about 50 Cases. Surgical Science, 11, 187-193. doi: 10.4236/ss.2020.117021.