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What Causes Itching Sensation After An STSG Surgery On Lower Right Leg?

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Posted on Thu, 14 May 2015
Question: Hi Dr
I had a split thickness skin graft surgery on my lower right leg 2 years back.
But few days ago i had an itching sensation on the graft skin due to which i accidently scratched the graft.Due to which there was a bump on my skin which gradually decreased in size to that of a tiny speck.Now the speck came off and i am left with a small wound on my skin graft.I am worried whether the skin graft would heal on its own. Please advice me on what to do.
doctor
Answered by Dr. Dr. Kakkar (10 hours later)
Brief Answer:
Use an OTC topical antibacterial e.g 2% Mupirocin ointment

Detailed Answer:
Hello. Welcome back and thank you for writing to us.

I have taken note of your query and I have understood it.

It should heal by itself.
I suggest you to use an OTC topical antibacterial e.g 2% Mupirocin ointment, twice daily, to prevent any secondary bacterial infection till new skin forms..

I would like to have a look at the wound. Kindly upload an Image.

You may upload an image either at "Reports Section"

Or else

You may also mail me the image at YYYY@YYYY
Kindly mention the subject of this mail as Attention Dr.kakkar.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (10 days later)
Hi Dr..
Am sorry for the late reply.
I have attached the image of the skin graft which was wounded.Although it is a small wound,its taking quite some time to heal on its own.There was a scab formation 4 or 5 days before but the scab too came off due to constant rubbing of my jeans over my leg leaving it wounded again.
Now am applying an antibacterial cream.
also i have circled the portion where its wounded in the image
Date of last conversation:14th April
doctor
Answered by Dr. Dr. Kakkar (6 hours later)
Brief Answer:
I suggest you to continue with the topical antibacterial for a few days.

Detailed Answer:
Hi.

Thank you.
I have reviewed the Image.
Continue with the topical antibacterial e.g povidone iodine ointment for a few days till the wound heals. Avoid it getting rubbed off by your jeans.
You may do a light bandage after cleaning with betadine solution and dressing it with a povidone iodine ointment.
Grafted skin is devoid of skin appendages like hair follicles, sweat & sebaceous glands.
Normally, new epidermis grows over from the appendages to cover the wound quickly.
However since grafts are devoid of skin appendages, therefore, wounds may heal slowly.
Moreover, a thin graft such as this, is less vascular as compared to surrounding normal skin and this also delays the healing.

Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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What Causes Itching Sensation After An STSG Surgery On Lower Right Leg?

Brief Answer: Use an OTC topical antibacterial e.g 2% Mupirocin ointment Detailed Answer: Hello. Welcome back and thank you for writing to us. I have taken note of your query and I have understood it. It should heal by itself. I suggest you to use an OTC topical antibacterial e.g 2% Mupirocin ointment, twice daily, to prevent any secondary bacterial infection till new skin forms.. I would like to have a look at the wound. Kindly upload an Image. You may upload an image either at "Reports Section" Or else You may also mail me the image at YYYY@YYYY Kindly mention the subject of this mail as Attention Dr.kakkar. Regards