. Operative surgery. he wisdom of acontinuance, and the belief that important practical benefits may arise fromthe labor. Shin-grafting is practiced for the purpose of causing the healing of freshand granulating surfaces of larger or smaller size. It is essential to successthat the granulations be healthy and that aseptic care be exercised in theperformance of the grafting. Three methods of procedure are now wellrecognized : one, the oldest, Reverdins method, the others and the moremodern, Thierschs and Krauses methods. Reverdins method is performed by first making small punctures inhealthy gr
. Operative surgery. he wisdom of acontinuance, and the belief that important practical benefits may arise fromthe labor. Shin-grafting is practiced for the purpose of causing the healing of freshand granulating surfaces of larger or smaller size. It is essential to successthat the granulations be healthy and that aseptic care be exercised in theperformance of the grafting. Three methods of procedure are now wellrecognized : one, the oldest, Reverdins method, the others and the moremodern, Thierschs and Krauses methods. Reverdins method is performed by first making small punctures inhealthy granulating surface with the sharp end of a common pocket probe,half an inch or so apart; and, second, by placing over the open mouths ofthese shallow punctures small pieces of integument, a line or two square,with the fresh surface downward. They are then pushed into the openingsof the punctures by the same probe, in such a manner as to cause a closecontact between the raw surfaces of the small grafts and those of the. Pig. Italian method. 576 OPERATIVE SURGERY. punctures in the granulating surface. Small pieces of sterilized lint areplaced over each graft, and confined in position by narrow strips of adhesiveplaster. The part should be carefully redressed at the end of three or fourdays. At this time small flocculent appearing spots will be noticed corre-sponding to the seat of the grafts, if it have been successfully placed. Thebits of skin employed are taken from the healthy surface of the donor bymeans of a fine thumb forceps and small curved scissors and include the reteMalpighii. Thierschs Method.—In Thierschs method the raw surfaces of strips ofthe epidermal layer of the integument are placed in contact with the shavenor curetted base of an ulcer, and with fresh surfaces of recent wounds. Asharp razor, saline solution, rubber tissue strips,aseptic gauze, aseptic cotton,and gauze bandages are required for the operation. Neither antiseptic solu-tions nor gauze should be b
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