01656nas a2200253   4500000000100000008004100001260001300042653001000055653001100065653001100076653001200087653000900099653001600108653002500124653001500149100001700164700001400181245005500195856004100250300001100291490000700302520107900309022001401388       2004                            d  c2004 Jun10aAdult10aFemale10aHumans10aleprosy10aMale10aMiddle Aged10aSkin Transplantation10aSkin Ulcer1 aJayaseelan E1 aAithal VV00aPinch skin grafting in non-healing leprous ulcers.  uhttp://ila.ilsl.br/pdfs/v72n2a04.pdf  a139-420 v723 a<p>Treatment of leprous ulcers has remained inadequate, owing to the fact that most of these ulcers are still being managed conservatively especially in developing nations, probably due to financial constraints. Pinch skin grafting, though obsolete now (2), tries to bridge this gap between cost and effectiveness. It is a simple office-based technique, not requiring much expertise or investment, and can be done in a simple set-up such as a side room (3). Also, pinch skin grafting has an added advantage over single grafts, in that even if one graft is rejected, there are other grafts, which successfully heal, and epidermize to the surrounding. Moreover, if the ulcer is draining, the discharge flows out in between the grafts, thus preventing the whole graft from being rejected. The only disadvantage to pinch skin grafting is the final cosmetic appearance, which might not be most pleasing. We had very good results with all four patients who underwent this procedure in our institution. The procedure and the final result are described in detail in this report.</p>  a0148-916X