Plastic surgery; its principles and practice . ate result betv,-een small superficial(Reverdin) grafts and small deep grafts placed close together ( = 3^^ inch) is almost as marked as the difierence in results betweenthose from Ollier-Thiersch grafts and whole-thickness grafts. OLLIER-THIERSCH GRAFTS Ollier-Thiersch grafts are those most generally used and are ofenormous size in comparison with those advocated by Reverdin. The method used in Dr. Halsteds clinic at the Johns HopkinsHospital for Ollier-Thiersch grafting is simple, satisfactory, and withsome slight modifications is as follo
Plastic surgery; its principles and practice . ate result betv,-een small superficial(Reverdin) grafts and small deep grafts placed close together ( = 3^^ inch) is almost as marked as the difierence in results betweenthose from Ollier-Thiersch grafts and whole-thickness grafts. OLLIER-THIERSCH GRAFTS Ollier-Thiersch grafts are those most generally used and are ofenormous size in comparison with those advocated by Reverdin. The method used in Dr. Halsteds clinic at the Johns HopkinsHospital for Ollier-Thiersch grafting is simple, satisfactory, and withsome slight modifications is as follows: Source of Grafts and Area from Which They are Obtained.^Thegrafts are almost always cut from the thigh and usually from the right 66 PLASTIC SURGERY when practicable, as phlebitis has occasionally developed after Ollier-Thiersch grafts have been cut from the left. The anterior and innerportion is the first choice; the external aspect next, and finally, if neces-sary, the posterior portion. Occasionally the skin from the arm or legis Fig. 74-—The boards in place holding the skin of the thigh flat and taut. The ecof the Catlin knife is engaged in the skin. (Photograph by Schapiro.) Technic.—Place a small sand bag beneath the thigh for support inorder to give a better surface from which to cut.^ Arrange the usualsterile dressing about the selected area. Care must be taken that nocarbolic or bichloride solutions be brought into the field, or be allowedto touch the grafts through the medium of the dressings, gloves, orinstruments. ^ See Technic of Skin Preparation. THE TRANSPLANTATION OF SKIN 67 Firm traction is exerted on the limb. The skin, wet with saltsolution, is then put on the stretch, and held as flat as possible by meansof two sterile boards about 20. cm. (8 inches) long placed quite close to-gether at right angles to the length of the limb, the first being held bv the
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