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Recipient slits - pre prepared v/s stick and place

Recipient slits - pre prepared v/s stick and place
  • Apr 29, 2019

Dear readers,

This is a topic that is not discussed often. But I feel that it merits attention.

There are 2 basic ways of making the recipient slits.

1. Make all of them at one go, before transplanting the grafts (pre-prepared)

2. Make one slit at a time and simultaneously place the graft into the slit. Then proceed to make the next slit and so on... (stick and place method)

I personally prefer the first.

Reasons

1. All the slits are made at one go keeping in mind the angulations and densities, by the doctor (in pre-prepared method).

In stick and place method, there is a wide time interval between making the complete slits during which the directions, angles etc. could vary

2. In stick and place method, (unless the procedure is a very small one), the recipient slits would be made by more then one person. That could lead to a difference in aesthetics in the final result.

3. In stick and place method, there is a very real possibility of graft popping out from the previous slit when a new slit is made adjacent to it.

Leading to avoidable graft trauma.

4. To avoid this popping out the graft placer may make the recipient slits further apart, leading to a low-density transplant

In view of the above, I prefer that all the recipient slits be made at one go and do not advise the stick and place method.

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