Thiersch S Graft, Split-Skin Graft

A Thiersch graft, also known as a split-thickness flap, is a type of skin graft in which thin layers of skin are cut into narrow strips or flaps and transplanted onto affected areas of the skin to heal the skin.

With this type of transplantation, only the upper layers of the skin (epidermis and part of the dermis), with a thickness of 0.2 to 0.4 mm, are used. Thicker layers of skin, including subcutaneous fat, are not used.

The Thiersch graft gets its name from the German surgeon Carl Thiersch, who first used this method in 1886.

The main application is to cover extensive skin defects that occur due to burns, injuries, bedsores, and wounds. The graft quickly covers the affected area, reduces fluid loss and prevents infection.

The main advantages compared to a full-thickness skin flap are the ability to cover a larger area of ​​the defect and less trauma to the donor skin area.

Thiersch and split skin grafts are types of skin graft. In a Thiersch graft, thin layers of skin are cut into narrow strips and transplanted onto the affected areas to allow the skin to heal. In a split flap, the skin is also cut into strips, but they are wider than in a Thiersch graft. Both methods are used to treat wounds and burns, as well as to restore skin after surgery.

The Thiersch graft has several advantages over the split-thickness flap. It is less traumatic for the patient, since it does not require complete removal of the skin, but only cutting it into thin strips. In addition, the Thiersch graft can be used to close large wounds, whereas the split-thickness flap is not always suitable for this purpose.

However, the Thiersch graft also has its disadvantages. It can lead to the formation of scars on the skin if the thickness of the skin layers is not selected correctly. Also, the graft may not take root in some cases, especially if there is infection or other complications.

The split flap has its advantages and disadvantages. It is more effective at closing large wounds and can be used to repair large areas of skin. However, it can also cause scarring and fail to heal if infection is present.

In general, Thiersch and split-thickness grafts are effective methods for skin reconstruction. The choice between them depends on the size of the wound, the presence of infection and other factors.

**Tirsch-Flap graft for split skin**

This transplantation method has several names: Thirschel graft, Benedict Thirschel-Thirsch graft, and skin splitting graft technique. The success of the method is quite high, which can be assessed by the large number of positive cases that have been registered in the world over the entire period of use.

The essence of the method is that the skin is divided into separate sections and then placed under the skin of the affected part of the body. In this way, skin flaps are created with one side free so that they can be removed from the transplant area. This is done after 6-