Plastic surgery; its principles and practice . be protected from injury for at least six weeks. Comments.—The skin may be taken from almost any situationwhere there is sufficient laxity of tissue to admit the suturing of the edgesof the wound from which the graft is taken. ^Paraffin 52°, 18. gm.; parafSn 40°, 6. gm.; beeswax 2. gm.; castor oil 2. in the autoclave and apply at body heat with a camels-hair brush over the grafts. THE TRANSPLAXTATIOX OF SKIN 87 Grafts may be cut the whole length of the thigh, and from as widean area as can be sutured. By using a boomerang-shaped
Plastic surgery; its principles and practice . be protected from injury for at least six weeks. Comments.—The skin may be taken from almost any situationwhere there is sufficient laxity of tissue to admit the suturing of the edgesof the wound from which the graft is taken. ^Paraffin 52°, 18. gm.; parafSn 40°, 6. gm.; beeswax 2. gm.; castor oil 2. in the autoclave and apply at body heat with a camels-hair brush over the grafts. THE TRANSPLAXTATIOX OF SKIN 87 Grafts may be cut the whole length of the thigh, and from as widean area as can be sutured. By using a boomerang-shaped incision avery long and wide area of skin may be secured from the abdominal andchest walls. Not infrequently we shall lind, after removing a whole-thicknessgraft, that large veins that have not been cut are exposed. It is betterto excise these veins, otherwise they often cause pain and discomfortlater. A graft of whole thickness may be placed in the midst of scar tissue,and accomplish its purpose, because in these cases the graft is more. Fig. 95.—Plaster cast on a childs arm after grafting the that the elbow is flexed and that the cast extends nearly to the shoulder. In thisway immobility is assured, and it is impossible for the patient to shake off the cast. stable and flexible than the tissue which surrounds it. and the scarbecomes more resistant as the tension is relieved. In whole-thickness grafts it is important to choose the skin to betransplanted with some regard to the type of skin which will surroundit. For instance, it is best where transplantation to a hairless part ofthe face is proposed, to select the inner forepart of the upper arm, asit is thin and practically without hair. As the success of the graft depends on the blood supply of its newbed, it follows that it should not be placed on denuded cartilage (with- 88 PLASTIC SURGERY out perichondrium) or be used for bridging over defects. Pedunculatedflaps should be used for this purpose. However, g
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