The operating room and the patient; a manual of pre- and post-operative treatment . mount of scartissue, the greater the final contraction to be expected. Theneighboring skin is drawn upon and contractures and muchdisability may result. When favorably placed this contractionmay cause an unsightly scar to become an insignificant spot. 20 306 OPERATING ROOM ANB THE PATIENT The cicatrices following Thiersch skin-grafting are not asdisfiguring or liable to contraction as the cicatrix of secondaryunion. The technic of the procedure must be perfect to attainthe best results. Though the cosmetic effe
The operating room and the patient; a manual of pre- and post-operative treatment . mount of scartissue, the greater the final contraction to be expected. Theneighboring skin is drawn upon and contractures and muchdisability may result. When favorably placed this contractionmay cause an unsightly scar to become an insignificant spot. 20 306 OPERATING ROOM ANB THE PATIENT The cicatrices following Thiersch skin-grafting are not asdisfiguring or liable to contraction as the cicatrix of secondaryunion. The technic of the procedure must be perfect to attainthe best results. Though the cosmetic effect is not nearly sogood as that of a linear scar, yet the color more nearly approachesthat of normal skin. If the grafts are not of uniform thicknessor if they are not very closely applied, considerable cosmeticdeformity will result. Skin-grafting.—This is indicated in all wounds of any magni-tude of the superficial parts which do not allow of secondarysuturing. The grafts are preferably placed on the wound surfacebefore granulation is well under way. If, however, the wojnd is. Fig. —Cutting a skin-graft. (Fowlers Surgery.) granulating, the granulations should be leveled and bleedingarrested by pressure before the grafts are placed. Only withpractice can adeptness be gained. The grafts are best takenfrom the anterior surface of the thigh. If this is unavailable forany reason the outer surface of the arm may be utilized. Noantiseptics are used in the preparation or course of the a soap and water cleansing the parts are flushed withsaline solution. A skin-grafting razor or an ordinary razor isused in cutting the grafts; the main requisite being that the in-strument be very sharp. The skin is put upon the stretch andmade prominent by encircling the part with the hand slightly OPERATIONS UPON SPECIAL TISSUES 307 in advance of the razor. If any apprehension is felt that therazor may slip the hand may be guarded by a piece of the skin on the s
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