Plastic surgery; its principles and practice . othertype of graft could have been successful on many of the lesions. It is obvious that when the grafts are in place they must be securedso that no sliding motion is possible. This is easily done by applyingoverlapping strips of rubber protective, or a sheet of paraffined meshover the grafts, and then securing this and the overlying gauze dressingwith numerous strips of perforated adhesive plaster. Over this isplaced more gauze, a snug gauze bandage and, finally, a muslin or crino-line bandage. Sometimes thin strips of splint wood were incorporat
Plastic surgery; its principles and practice . othertype of graft could have been successful on many of the lesions. It is obvious that when the grafts are in place they must be securedso that no sliding motion is possible. This is easily done by applyingoverlapping strips of rubber protective, or a sheet of paraffined meshover the grafts, and then securing this and the overlying gauze dressingwith numerous strips of perforated adhesive plaster. Over this isplaced more gauze, a snug gauze bandage and, finally, a muslin or crino-line bandage. Sometimes thin strips of splint wood were incorporatedin the dressings. During the duration of the treatment every patientin this series had continued his or her daily occupation. In some in-stances in which the grafts were placed close together, the ulcers werecovered with epithelium within a week. When a partial grafting wasdone, or when only a portion of the grafts were successful, a second 1 Davis, J. S.: Jour. Amer. Med. Assn., Feb. 13, 1915, 559. INTRACTABLE ULCERS AND VARICOSE VEINS 191. Fig. 132.—Varicose ulcer of leg. Duration twelve years, i. Before grafting. Ambu-atory method. 2. One week after grafting with small deep grafts. 3. Five months aftergrafting. Examination of the patient five years after grafting showed no tendency torecurrence. The healing was stable and the individual grafts were still plainly visible.
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