Positioning of the limbs and the hands especially is very important. Early involment of the physiotherapist, splinting is important Grafting Hands should be grafted early to prevent contractures and tearing of extensor tendons. Eyelids and ears need early intervention to prevent permament loss. Areas of motion such as elbows, knees must receive early attention. Large flat areas should be covered early.
General emphasis is on early interference for functional and economic reasons.
Donor site - can be anywhere depending on the availability, generally the thigh is used as it is easier to harvest. The abdomen and back are difficult. Using a dermatome makes the process more efficient. When short of skin a mesher can be used to increase the area of coverage. To speed things up in the theatre we now use staples to fix the skin.