Is a skin graft or skin regeneration better for syndactyly split finger surgery?

During the separation of syndactyly there is usually a skin soft tissue defect at the opposite edge of the web of the finger. If the skin is taken from the child’s tummy, the advantage is that it is quicker and the child can start to move around as soon as it has survived, but the disadvantage is that there will be a longer scar on the tummy. The disadvantage is that there is a longer scar on the stomach. Although the survival rate of skin grafts is currently very high, one or two children’s skin grafts go bad every year. Implants are like laying sod. When they are laid, sometimes they live, sometimes they don’t, and there is a certain amount of risk involved. Before the surgery, there is another problem with taking skin from the stomach, because the skin on the hand is special, and the texture and color of the skin is not the same as the rest of the body. After the skin from the stomach is implanted on the hand, it will become dark and sometimes hair will grow. There is also a difference in sensation between the implanted skin and the original skin in situ because the innervation has to be re-established. Skin regeneration and finger splitting surgery does not use skin grafting, we open the wound and stick an artificial material to let the skin grow from the periphery to the center, the advantage is that there is no need to take skin from the stomach, the disadvantage is that it will be slower. The disadvantage is that it will be slower because the skin will not grow right away, just like an abrasion, it will not heal right away. Larger skin defects usually take six to eight weeks to grow back, so skin rejuvenation and finger splitting will take longer compared to skin grafting. After the surgery In addition, if you choose to use a skin graft-free method, the requirements for parental care are relatively high, because the skin on the child’s hand is plastered with artificial dermis, and we will wrap the little hand, and during the period of skin growth, the child’s hand can not be wet, soak in water, because it will be contaminated and easy to be infected. Of course, the skin implant also needs the same attention from the parents, because the first 10-15 days or so of the skin implant, firstly, there is no survival, and secondly, the skin will be more tender and not as wear-resistant as normal skin, so the parents need to pay more attention to it as well. Every time after explaining the benefits and drawbacks of skin grafting and skin regeneration to the parents, the parents would ask for my opinion, in fact, I would recommend artificial dermis without skin removal because in all cases compared, skin regeneration with finger splitting is relatively superior, and the child’s fingers have a good appearance and function.