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Split Thickness Skin Graft (STSG) Zimmer Dermatome settings with video - Clinical case example

last modified on: Mon, 10/23/2023 - 08:32

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see also: Case Example Lip Reconstruction Peri-alar Crescentic Advancement FlapSkin Graft Donor Site CareZimmer Air Dermatome Instrument Tray
return to: Split Thickness Skin Graft or Full thickness skin graft

S/P "Moat" Procedure for lentigo maligna surrounding invasive melanoma

  • Moat Procedure: refers to circumferential clearance of margins by Mohs procedure to ensure adequate peripheral margins - like a "moat around castle" (see references below re: margins for melanoma in situ and 'square' procedure).

see videos below:


Demirci H, Johnson TM, Frueh BR, Musch DC, Fullen DR, and Nelson CC: Management of periocular cutaneous melanoma with a staged excision technqiue and permanent sections - the square procedure. Opthalmology 2008 Dec;115(12):2295-2300

Jejurikar SS, Borschel GH, Johnson TM, Lowe L and Brown DL: Immediate, optimal reconstruction of facial lentigo maligna and melanoma following total peripheral margin control. Plast Reconstr Surg. 2007 Oct;120(5):1249-55

Kunishige JH, Brodland DG, and Zitelli JA: Surgical margins for melanoma in situ. J Am Acad Dermatol 2012 Mar;66(3):438-44

Blum A:The moat technique. A two-step surgical technique for extensive basal cell carcinomas of the lip Der Hautarzt 2004 vol:55 iss:9 pg:869-873

Hoffman HT and La Rouere M: A Simple bolster technique for skin grafting. Laryngoscope 1989 May;99(5):558-9