Transactions of the Southern Surgical and Gynecological Association . hould not be transplanted (Fig. 5). 16. That another disadvantage of the method, morapparent than real, is that it involves two operations in placeof one. My own experience has been that two properlyplanned operations usually bring success while the singleoperation has too often been followed by immediate failure,necessitating a larger number of subsequent steps. 17. That even delayed transfer has not been successful inevery case (Fig. 5). The accompanying pictures were selected to bring out thevarious points related to the


Transactions of the Southern Surgical and Gynecological Association . hould not be transplanted (Fig. 5). 16. That another disadvantage of the method, morapparent than real, is that it involves two operations in placeof one. My own experience has been that two properlyplanned operations usually bring success while the singleoperation has too often been followed by immediate failure,necessitating a larger number of subsequent steps. 17. That even delayed transfer has not been successful inevery case (Fig. 5). The accompanying pictures were selected to bring out thevarious points related to the phase of the subject underconsideration. DISCUSSION Dr. J. Shelton Horsley, Richmond, Virginia.—We are alldelighted to have heard and seen the beautiful artistic workof Dr. Blair. I do not think I have seen any prettier workthan that which he has shown us this morning. The principlehe brought up of delayed implantation of flaps is an importantone in plastic work. We have to consider two things: first ofall, the patient; second, the local condition of the flap. We. Fig. 1.—Partial slough of a short broad flap in an infant, a, Thecondition at twenty-four hours, the time of operation. Only the mesialhalf of the very wide right ala bordering on this oblique facial cleft wasused in reconstructing the nostril, and though the soft tissues of the righthalf of the external nose were raised from the nasal bone they were dis-turbed in no other way; but in spite of this it will be seen in b (at right),taken seven days later, that almost all of the right ala has sloughedaway.


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectg, booksubjectsurgery