| Sumario: | Skin grafting is an intervention used for the closure of many types of wounds and involves removing the epidermis and/or the dermis for transplantation to a prepared wound bed. Patients requiring skin grafts often need anaesthesia and hospitalisation, and complications such as pain, infection and graft failure can result. This review will discuss the use of epidermal grafting (EG) as a skin grafting option, and present population groups that may benefit from its use. The development of the CELLUTOMETM (KCI) epidermal harvesting system makes EG simpler and faster than traditional EG harvesting methods, allowing the procedure to be performed in an outpatient setting without anaesthetic. A discussion of the use of the epidermal device for two outpatient procedures will be presented, highlighting the importance of care of the graft to reduce the risk of failure. Both procedures resulted in a loss of the graft due to inexperience in EG wound management. A review of the evidence surrounding the effectiveness of EG is also discussed in this article; however, there remains limited quality evidence available for this novel approach to wound healing.
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