Tsukada’s Graft: A Preserved Subcutaneous Vascular Network Skin Graft
摘要
Tsukada’s graft is a full-thickness skin grafting technique that preserves the subcutaneous vascular network (SVN). Unlike a standard full-thickness skin graft, this graft completely preserves the dermis, hair follicles, and sweat glands, and includes some fat. The survival process is similar to that of full-thickness grafts, but the vascular anastomosis from the wound bed to the graft depends on the SVN. The number of vessels anastomosed to the graft is more prominent, and because the deep dermis and skin appendages are preserved, postoperative contractures are less likely to occur, and the skin can be reconstructed to resemble normal skin. This makes the graft suitable for reconstructing areas that are important cosmetically and functionally, such as the face and hands.