Surgical Treatments

Surgical Treatments

Surgical Modalities of Treatment:

Established surgical technique include:

• Mini puncture grafting,
• Blister roof grafting,
• Super grafting.

Surgical Treatment option of cultured or non cultured melanocyte keratinocyte transplantation is the best surgical option for stable vitiligo patches.

Cultured Melanotcyte Transplantation:

• Procedure requires highly sophisticated melanocyte culture laboratory and time gap between biopsy and transfer could range from 4 weeks to 8 weeks,
• Most important advantage is large area can be covered in one go from small biopsy sample.

Non Cultured Melanotcyte Transplantation:

• Technologically simple to perform,
• Requires very less equipment,
• Basically it is a day care procedure,
• Biopsy and Transfer procedures done on same day with time delay of only 3 hours,
• Requires very less equipmentCan be used to treat small lesions upto 100-150 sq. cm at a time.

Indication:

• Stable form of vitiligo,
• No use of immunosuppressive &cytotoxic drugs at least for past 6 months.

Cotra Indications:

• Patients with active disease,
• Pregnant patients,
• Keloidal tendencies,
•  Infection at recipient site,
• Evidence of koebner in past.

Specific Requirements:

• Medias,
• Lamellar flow bench,
•  CO2 incubator,
• Centrifuge,
• Petri dish,pippetes,Kollagen,Tegaderm.

more detail on - http://www.whitespotcure.com/