Plastic surgery; its principles and practice . nearly completed. The graft is being held up by an instru-ment. Note the punctate bleeding from the tops of the papillae of the corium. (Photographby Schapiro.) assistant, and the other by the left hand of the operator. Parker suggests smearing the skin and knife with a thin film of sterile vaselin. The edge of the thin sharp Catlin knife^ is then engaged in the skin between these boards, and held almost flat against the limb, and by a 11 have found a single-edged blade broader and thinner than the Catlin more satisfac-tory with these boards, and
Plastic surgery; its principles and practice . nearly completed. The graft is being held up by an instru-ment. Note the punctate bleeding from the tops of the papillae of the corium. (Photographby Schapiro.) assistant, and the other by the left hand of the operator. Parker suggests smearing the skin and knife with a thin film of sterile vaselin. The edge of the thin sharp Catlin knife^ is then engaged in the skin between these boards, and held almost flat against the limb, and by a 11 have found a single-edged blade broader and thinner than the Catlin more satisfac-tory with these boards, and use in my work either Rehns or Hofifmanns knife without thesafetv guard. 68 PLASTIC SURGERY sawing motion the graft is cut, the knife closely following the board inthe hand of the operator which is drawn slowly along in front of it(Fig. 74). The entire area being constantly kept wet with salt iodin technic is used the grafts may be cut dry. The graft shouldbe cut at a level which will include the top of the papillary layer of the. Fig. 76.—The area from which this small graft was cut. The graft is being spread outon rubber protective, raw surface upward. By this method single grafts the full length ofthe thigh, and from cm. to cm. (3 to 5 inches) wide may be secured without diffi-culty. A single large graft will heal as promptly as several smaller ones, and should alwaysbe utilized when possible, as there is less scarring when one graft is used. corium and if properly cut only a slight amount of punctate bleedingwill follow (Fig. 75). After the graft has been cut, it is placed with the raw surface upper-most upon a piece of sterile rubber protective on a board, and by meansof a smooth instrument the graft is spread out evenly on the protective. THE TRANSPLANTATION OF SKIN 69 It is then covered with gauze wet in salt solution until the area tobe grafted is ready (Fig. 76). Application of the Graft.—After all hemorrhage has beenchecked the protective on w
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
