YouTube video: extracting grafts. Terrible job?

[alex85]

Looks like over-harvesting, transections, and handling with no care at all. The surgeon is going way to fast while extracting...I got such an uncomfortable feeling when watching so I wanted to share haha. I am right, or do I exaggerate?

https://www.youtube.com/watch?v=9a9d2jGkj0A

Edited December 19, 2021 by alex85

[JDEE0]

you're not exaggerating, no, that is awful work.

[Curious25]

He’s treating that like he’s performing SMP. Awful extraction 

[alex85]

Yes indeed. I even see grafts hanging in the cloth he is using. 

[MachoVato]

Horrifying!

 

[Berba11]

That's absolutely horrendous to watch. Looks too fast, imprecise and messy to me.

@DrTBarghouthi, what's your expert assessment of this video clip? Would be interesting to hear your professional opinion.

[HappyMan2021]

LOL the doc looks like he's trying to stab the donor area to death with forceps

 

[DrTBarghouthi]

On 12/19/2021 at 10:10 PM, Berba11 said:

That's absolutely horrendous to watch. Looks too fast, imprecise and messy to me.

@DrTBarghouthi, what's your expert assessment of this video clip? Would be interesting to hear your professional opinion.

Wow! So many concerning things here:

1. Speed in itself is not the main concern as you would get occasional cases where extraction might be easier and fast in general. However, I note that they never do any testing of random grafts to see that they’re in the right angle with no transections. It is good practice in my opinion to check every certain number or if in doubt about angle, direction or depth. 
2. Too messy. The gauze is just too bloody and the surgical field is not kept clean.

3. Too densely extracted. I can literally see no hair follicles left in some of the areas if not most. 
4. I also am not a fan of using one forceps to extract the grafts. I prefer having two as this reduces the pulling and shearing effect on the grafts.

Yes disturbing overall I agree.

[Melvin- Moderator]

Speed doesn’t equal better. Poor donor area.