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Full-thickness skin grafts placed immediately after skin cancer resection are routinely used with a high rate of success. This retrospective study reviewed the course of 117 patients who received such grafts at different times after Mohs micrographic surgery.
Graft necrosis, either partial or complete, occurred in 10.7% of patients whose grafts were placed immediately after surgery, in 32% of those whose grafts were placed 1 day after surgery, and in 3.7% of those whose grafts were placed after 2 to 8 days. These differences were statistically significant. The rate of necrosis was three times greater in men than in women. This sex-based difference was statistically significant only for grafts on the nose, which represented 73% of grafts incl…