Recipient slits - pre prepared v/s stick and place
Dear forum readers,
This is a topic that is not discussed often. But I feel that it merits attention.
There are 2 basic ways of making the recipient slits.
- Make all of them at one go, before transplanting the grafts (pre prepared)
- Make one slit at a time and simultaneously place the graft into the slit. Then proceed to make the next slit and so on… (stick and place method)
I personally prefer the first.
- All the slits are made at one go keeping in mind the angulations and densities, by the doctor (in pre prepared method).
In stick and place method, there is a wide time interval between making the complete slits during which the directions, angles etc. could vary
In stick and place method, (unless the procedure is a very small one), the recipient slits would be made by more then one person. That could lead to a difference in aesthetics in the final result.
In stick and place method, there is a very real possibility of graft popping out from the previous slit when a new slit is made adjacent to it.
Leading to avoidable graft trauma.
To avoid this popping out the graft placer may make the recipient slits further apart, leading to a low density transplant
In view of the above, I prefer that all the recipient slits be made at one go and do not advise the stick and place method.