Split thickness skin grafting

         Figure 1. split thickness skin grafting( with signed consent)

         This is my first STSG during my first rotation in Plastic Surgery, PGH.

         First Graft site opening done 4 days post surgery. I hope to post the pictures of my patient once
         available.

         Follows up in our clinic.

        By the way  what is Split thickness skin grafting?

        This is one of the procedure use to cover wounds that cannot be closed primarily or in      

        other large wounds cause by avulsion and laceration. This procedure is frequently use in

        Burn surgery doing tangential excision of burn wounds.

        

Plastic Surgery study

It is fun studying plastic surgery. Anatomy at its best..

Plastic surgery rotation

i rotated in burn and Plastic surgery during the month of May and March 2016. I was able to do multiple split thickness skin grafting,able to assist in free flap and aesthetic surgery. I also learned to apply negative pressure wound therapy and to do escharotomy. 

Figure 1. This is a picture post application of negative pressure wound therapy

Subcuticular Running Suture - Suture Techniques

One of the most informative and easy to learn videos for knot tying

post splenectomy vaccination

Patient who have undergone  splenectomy either due to shattered spleen due to blunt trauma or due to hemolytic problems  should be given vaccination to cover for  Streptococcus pneumoniae, Haemophilus influenzae type B, and Neisseria meningitidis.  Patients should be advised  prior to discharge on the risk of overwhelming post splenectomy sepsis and their immunocompromised state.

Appendectomy

Ive  found this video interesting online. This a  rocky davis incision with noted peritoneum closure.
During my first year in surgery I did 38 appendectomies, 15 during second year another 40  during my third year in general surgery residency.