. Manual of operative surgery. for epispadias is that skin capable of growing hair is used to line the newbladder or urethra. Hairless skin is often used to replace lost mucous mem-brane, but if healthy mucous membrane can be obtained, such is far flaps should consist of the whole thickness of the skin, but without too muchsubcutaneous fat attached to them; they ought to be about one-sixth larger thanthe defect they are to fill, and should have a pedicle through which nourish-ment is freely supplied. This advice has been universal but Gillies considersit wrong. Twisting of, or tensi
. Manual of operative surgery. for epispadias is that skin capable of growing hair is used to line the newbladder or urethra. Hairless skin is often used to replace lost mucous mem-brane, but if healthy mucous membrane can be obtained, such is far flaps should consist of the whole thickness of the skin, but without too muchsubcutaneous fat attached to them; they ought to be about one-sixth larger thanthe defect they are to fill, and should have a pedicle through which nourish-ment is freely supplied. This advice has been universal but Gillies considersit wrong. Twisting of, or tension on the pedicle occludes its blood-vessels, cutting off nourishment and impeding the natural drainage; hence it isnecessary in tracing out the flap to do so in such a position that it can be fixed PLASTIC SURGEKY 1243. Fig. i59i(D> A, B, C.
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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921
