Skin grafting for surgeons and general practitioners

Chapter I. Page

Terminology — Early History 1-6

Definitions — Early History.

Chapter II

Comparative Vitality of Grafts from the Old and from the Yotjng — Heterogeneous Grafting — Dangers of Transferring Disease — Influence of the Patient's General Condition upon Skin Grafting — Surgical

Cleanliness 7-12

Grafts from the Old and from the Young — Heterogeneous Grafting — Transmission of Disease — The Patient's General Condition — Death from Skin Grafting — Surgical Cleanliness.

CHAPTER III. Tee Method of Reverdin 13-32

Preparation — Where to Obtain Grafts — Size of Grafts — Method of Cutting Grafts — Placing the Grafts — Legal Questions — Dressings— Wet and Dry Dressings — Changing Dressings — Process of Healing — After-treatment.

CHAPTER IY.

The Method of Thiersch — Its Use in Special Cases . . 33-67 General Technic — Hemorrhage — Curetting — Preparation ■ of Granulations — Methods of Cutting Grafts — Placing the Grafts — Grafting in Two Stages — Thin vs. Thick Grafts — Anesthetics — Dressings — "Splinting" Grafts — Treatment of Wounds After Removal of Grafts — "Accordion Grafts" — Proper Time for Grafting — After-treatment — Application of Thiersch Grafting — Thiersch Grafting in Special Cases — Heterogeneous Thiersch Grafting — Statistics.

CONTENTS

CHAPTEE V.

PAGE

The Wolfe-Krause Method 68-73

Preparation — Technic — Adjustment of Grafts and Dressings — After-treatment.

CHAPTER VI.

The Method of Hirschberg — Skin-Periosteum-Bone Grafts 74-76

CHAPTER VII.

The Transplantation of Mucous Membrane — Anomalies

in Skin Grafting — Sponge Grafting 77-83

Mucous Membrane — Anomalies in Skin Grafting — Sponge Grafting.

CHAPTER VIII.

Grafting from Animals 84-89

CHAPTER IX.

Grafting in Lupus, in X-ray Burns, on the Cranium, and in Connection with the Eye and Ear .... 90-104 Lupus — X-ray Burns — Grafting on the Cranium — The Eye— The Ear.

CHAPTER X.

Local Anesthesia in Skin Grafting 105-107

• CHAPTER XL

Adhesion and Nutrition — Color — Mortality — Sensation — Cicatricial Contraction — Exfoliation — Depressions — Production of Epithelium — Independent Longevity of Epithelium — Epithelial Stimulation — Grafting from Negro to White Man — Cheloids.

CHAPTER XII.

Brief Comparison of Different Methods of Skin Grafting . 122-125

ILLUSTRATIONS

FIGURE PAGE

1 Incisions through indurated border and floor of callous ulcer 18

2 Cutting a Reverdin graft 21

3 Cutting a Reverdin graft 22

4 Cutting grafts from pellicle of new skin at border of healing

ulcer 23

5 Reverdin grafts in place 24

6 Reverdin graft in place at the end of planting 25

7 Strip of rubber tissue with punched-out drainage holes . . 27

8 Strip of gauze pinned about the leg for holding grafts in

place 28

9 Cutting Thiersch grafts from thigh 34

10 Thiersch graft partially cut 35

11 Showing how Thiersch grafts should overlap each other . 36

12 Thiersch grafts in place 36

13 McBurney's hooks for stretching skin 41

14 Halsted method of cutting large Thiersch grafts .... 42

15 Sliding Thiersch graft from razor on to surface of ulcer . . 44

16 Placing Thiersch grafts from razor 45

17 Wire cage in place in open method of grafting 49

18 Wire cage in place in open method of grafting 50

19 Wire cage for open method of grafting 50

20 Method of "splinting" grafts with netting 52

21 Accordion grafts 54

22 X-ray dermatitis of hip 94

23 X-ray burn of hand 94

24 Points for insertion of local anesthetic in skin grafting . .106