graft failure
The partial or complete loss of transplanted skin tissue due to inadequate vascularization or other complications.
Full Definition
Graft failure represents one of the most significant complications in burn surgery, occurring when transplanted skin fails to establish adequate blood supply or integrate with the recipient site. Common causes include infection, hematoma formation, mechanical shearing, inadequate wound bed preparation, or patient factors such as smoking or poor nutrition. Graft failure can be partial, affecting only portions of the graft, or complete, requiring regrafting procedures. In burn surgery documentation, early recognition and documentation of graft failure signs such as color changes, lack of capillary refill, or separation from the wound bed is crucial for timely intervention and optimal outcomes.
Usage
Usage note: Distinguish between early failure (first 72 hours) and late failure.
In Context
- "Postoperative graft failure was attributed to inadequate immobilization of the extremity." — surgical complication note
- "Signs of early graft failure include dusky discoloration and lack of blanching response." — nursing assessment