Plastic surgery; its principles and practice . d from the forearm, the pedicleis amputated from the abdomen and theflap is transferred on the forearm to thePig. 102.—Double pedicied bridge chin. In due time the flap is cut away flap showing skin sutured beneath it. i r i • • t i If skin edges cannot be approxi- ^^om the forearm and IS immediatelymated the raw surface may be fitted into its new bed. By this method transfer has also been made from abdo-men to chest, to neck, to chin, and in other combinations. It shouldbe emphasized at the onset that the raw surface of the flap necessarilygranul
Plastic surgery; its principles and practice . d from the forearm, the pedicleis amputated from the abdomen and theflap is transferred on the forearm to thePig. 102.—Double pedicied bridge chin. In due time the flap is cut away flap showing skin sutured beneath it. i r i • • t i If skin edges cannot be approxi- ^^om the forearm and IS immediatelymated the raw surface may be fitted into its new bed. By this method transfer has also been made from abdo-men to chest, to neck, to chin, and in other combinations. It shouldbe emphasized at the onset that the raw surface of the flap necessarilygranulates and the shrinkage is considerable. If an abdominal flap be used with a pedicle on one side of the mid-line, it is advisable, on account of the arterial distribution, that theskin of the flap be taken from the same side. This is unnecessary wherethe pedicle includes skin on both sides of the midline. The area from which the pedunculated flap is taken may be closedwith sutures if the skin is lax, or after undercutting and sliding. If. PEDUNCULATED FLAPS 117 closure is not possible on account of the size of the area, it may becovered with skin grafts, preferably of the Ollier-Thiersch variety (Figs. 102 and 103).
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
