Objective:
Skin defects that result from burn eschar excisions or traumatic skin defects are typically reconstructed using a skin graft. Scar problem led to the development of dermal replacement matrices in the past decades. Although the 2-stage technique has been largely reliable, it necessitates a 2- to 3-week treatment course and requires a minimum of 2 operations. Here, we report our experience with one-stage skin reconstruction with thin Integra and split-thickness skin graft for coverage of wounds post burn debridement and traumatic skin defects.

Materials and Methods:
This is a retrospective review of consecutive operations from August to September in 2020 in which composite skin reconstruction was performed. Data were obtained from electronic medical records and perioperative photographs.

Results:
In the early result of one-month follow-up, 6 surgical sites were identified in 4 patients. Regular follow-ups took place at postoperative day 4 with negative pressure wound device removal. The graft take was 100%. No patient required regrafting.

Conclusion:
In the appropriate setting, one-stage composite skin reconstruction with a thin dermal template is a practical technique and resulted in reasonable graft take. Thinner dermal graft requires less vascularization time. This study was unable to evaluate contribution of dermal substitute to contraction and improvement of skin quality compares to the original thick dermal substitute. We recommend further investigation for long term follow-up.

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