Health Information and Tools > Patient Care Handouts >  Skin Grafts: Before Your Child's Surgery
Facebook Tweet Email Share

Main Content

Skin Grafts: Before Your Child's Surgery

Location of some common sites on the body for donor skin, with detail of meshed skin graft covering wound

What is a skin graft in children?

Skin grafts are small sections of healthy skin taken from one part of the body and put on another part. They are used to treat skin damaged by burns, infection, or injury. When possible, the doctor takes the healthy skin from a place that's hard to see or is often covered by clothes.

In many cases, skin grafts only use the top layer of skin. This is called a split-thickness graft. When more layers are needed, it's called a full-thickness graft. The kind your child needs depends on how much damage there is and where it is.

In a split-thickness graft, the doctor removes a strip of healthy skin with a special tool. The skin usually comes from the inner thigh or the rear end (buttocks). Then the doctor puts the strip on the damaged area and attaches it with stitches or staples.

If the area is large, the doctor may "mesh" the donor skin. Meshing is a process to make small cuts in the donor skin. These cuts allow the donor skin to stretch to cover the graft area. Meshing makes it possible to cover a larger area with a smaller amount of donor skin. Several strips of donor skin may be used to cover larger areas. Your child will grow a new layer of skin in the place where the donor skin was removed.

In a full-thickness graft, only small pieces of skin are used. This is because the skin doesn't grow back where it was removed, and the edges have to be stitched together. Skin for this type of graft usually comes from the upper arm or lower belly. But other areas may be used to best match the colour or texture of the area that needs the graft.

Your child will get medicine to make him or her sleep during surgery. After surgery, your child will have a bandage over the graft. The doctor will remove this in 4 to 10 days. The stitches or staples will be removed in 7 to 10 days.

For small grafts, your child may be able to go home the same day. For large grafts or ones in difficult areas, your child may need to stay in the hospital for a few days or more.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

What happens before surgery?

Surgery can be stressful for both your child and you. This information will help you understand what you can expect. And it will help you safely prepare for your child's surgery.

Preparing for surgery

  • Understand exactly what surgery is planned, along with the risks, benefits, and other options.
  • Tell the doctor ALL the medicines and natural health products your child takes. Some may increase the risk of problems during the surgery. Your doctor will tell you if your child should stop taking any of them before the surgery and how soon to do it.
  • Talk to your child about the surgery. Tell your child that it will help the damaged skin heal. Hospitals know how to take care of children. The staff will do all they can to make it easier for your child.
  • Ask if a special tour of the surgery area and hospital is available. This may make your child feel less nervous about what happens.
  • Plan for your child's recovery time. He or she may need more of your time right after the surgery, both for care and for comfort.

What happens on the day of surgery?

  • Follow the instructions exactly about when your child should stop eating and drinking. If you don't, your child's surgery may be cancelled. If your doctor told you to have your child take his or her medicines on the day of surgery, have your child take them with only a sip of water.
  • Follow the doctor's instructions about when your child should bathe or shower before the procedure. Do not apply lotion or deodorant.
  • Your child may brush his or her teeth. But tell your child not to swallow any toothpaste or water.
  • Do not let your child wear contact lenses. Bring your child's glasses or contact lens case.
  • Be sure your child has something that reminds him or her of home. A special stuffed animal, toy, or blanket may be comforting. For an older child, it might be a book or music.

At the hospital or surgery centre

  • A parent or legal guardian must accompany your child.
  • Your child will be kept comfortable and safe by the anesthesia provider. Your child will be asleep during the surgery.
  • The time it takes to do the skin graft depends on how much damaged skin needs to be covered.
  • After surgery, your child will be taken to the recovery room. As your child wakes up, the recovery staff will monitor his or her condition. The doctor will talk to you about the surgery.
  • Your child will have bandages over the graft area and the area the skin was taken from.
  • You may be able to take your child home on the same day as the surgery. Or your child may need to stay in the hospital for a few days or more.

When should you call your doctor?

  • You have questions or concerns.
  • You don't understand how to prepare your child for surgery.
  • Your child becomes ill before the surgery (such as fever, flu, or a cold).
  • You need to reschedule or have changed your mind about your child having the surgery.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter S240 in the search box to learn more about "Skin Grafts: Before Your Child's Surgery".

Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.