REPAIR of large skin deficits can be an all-round challenge, involving preoperative planning, careful preparation of the patient and a high standard of postoperative care. This article is not intended as a comprehensive guide to all ways of closing wounds, but covers some of the most useful techniques for reconstruction. The techniques may be used individually as a one-step procedure or in combination as part of a staged process of wound closure. A sound understanding of the healing processes and the principles of surgical manipulation of the skin is essential in order to gain the most from these techniques. The aim is to achieve a functional and cosmetic repair in the shortest time possible, with least discomfort to the patient.
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