Plastic surgery; its principles and practice . rews (a) which are on the knife itself. The thickness of the graft is regulated by the screws- (b) which are on the guard. flabby thigh. It is difficult to cut satisfactory Ollier-Thiersch graftsfrom young children on account of the thinness of the skin. The Perforation of Grafts.—Vogel, after Olher-Thiersch graftsare in place, uses curved scissors and cuts in the graft two small windows,each about cm. (3-^ inch) square, in each square centimeter of sur-face. He uses a wet salt solution dressing for four or five days, then THE TRANSPLANTATION
Plastic surgery; its principles and practice . rews (a) which are on the knife itself. The thickness of the graft is regulated by the screws- (b) which are on the guard. flabby thigh. It is difficult to cut satisfactory Ollier-Thiersch graftsfrom young children on account of the thinness of the skin. The Perforation of Grafts.—Vogel, after Olher-Thiersch graftsare in place, uses curved scissors and cuts in the graft two small windows,each about cm. (3-^ inch) square, in each square centimeter of sur-face. He uses a wet salt solution dressing for four or five days, then THE TRANSPLANTATION OF SKIN 79 dresses with an ointment. The grafts heal smoothly into place andare never lifted up by blood or serum collecting beneath them. Thelittle windows soon heal over, but before this takes place, they allowfree escape of secretions into the moist dressings, which preventsdrying. Forsterling, instead of making windows, cuts little flaps in the graftto allow drainage as long as necessary and does not leave open spacesto be covered Fic. ^,s.—Complete uikc Ii (Jllier-Thiersch grafts on a ^..- .ng a radical operation for carcinoma of the breast. Photograph taken two and one-half weeksafter grafting. These methods, especially those of Vogel and Forsterling, whichare very simple, have much to recommend them. In fact the recogni-tion of the necessity of allowing the immediate escape of secretionswhich collect under the grafts is one of the most important advances inthe technic of Ollier-Thiersch skin grafting. Experience has taughtme that V-shaped openings should be made here and there in any graftwider than 2. cm. (j^ inch). Methods of Making the Skin Tense.—McBurney introducedbroad sharp retractors to hold the skin flat and tense while the graft wasbeing cut between them; but two pieces of splint board, as previously 8o PLASTIC SURGERY described, will hold the skin in a very satisfactory manner. Some opera-tors use the hands of an assistant placed above and below f
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
