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Intermediate Technical IVT

pinch graft

Small, full-thickness skin grafts harvested using forceps and scalpel, used for small burn wounds.

Full Definition

A pinch graft is a small, full-thickness skin graft harvested by elevating the skin with forceps and excising with a scalpel blade, typically creating grafts 2-4mm in diameter. These grafts are particularly useful for small burn wounds, donor site touch-ups, or areas where larger grafts are technically difficult to place. The technique was more commonly used historically but remains valuable in specific circumstances. Pinch grafts heal by secondary intention at the donor site, creating small, round scars. They provide both epidermal and dermal components but have limited coverage capacity compared to sheet or meshed grafts.

Usage

Usage note: Distinguish from punch biopsy, which is diagnostic rather than therapeutic.

In Context

  • "Multiple pinch grafts were placed over the granulating wound bed to achieve epithelial coverage." — Minor procedure note
  • "The technique of pinch grafting allowed precise placement in the irregular wound geometry." — Plastic surgery operative report

Also known as

punch graft small full-thickness graft

Contrasted with

sheet graft meshed graft

Don't confuse with

punch biopsy hair transplant graft

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