Modern surgery, general and operative (1914) (14780245204)

Identifier: modernsurgerygen1914daco (find matches)
Title: Modern surgery, general and operative
Year: 1914 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery Surgery, Operative
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons



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ponge;others, the skin of rab-bits, guinea-pigs, or pups.Arnot has employed thelining membrane of ahens egg, cut in stripsand applied upon thewound with the shell-surface uppermost. Small bits of epidermis taken from a recently amputatedforeskin or leg may be used. Reverdins Method.—This operation was devised by Reverdin in i86g.Small bits of epithelium are used, and they are taken, preferably, from theperson himself. The surface to be grafted should possess healthy granula-tions level with the skin. Cleanse the skin from which the grafts are tocome, the ulcer, and the skin about it, and, if corrosive sublimate is used,wash it away with a stream of warm normal salt solution. Thrust a sewing-needle under the epidermis to raise it, cut off the graft by a pair of scissors,and place the raw surface of the graft upon the ulcer. After applying anumber of grafts, place thin pieces of gutta-percha tissue over them andextending on each side of the ulcer, and so placed as to have distinct in-
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Fig. 842.—Injury caused by crush and bum. Healed by gran-ulation in eight months. Showing a condition after removal ofscar of the palm, which has been repaired by stitching in an auto-plastic graft (free flap) from the thigh (George S. Brown). The Ollier-Thiersch Method of Skin-grafting 1263 ter\^als between them, the gaps permitting drainage. Rubber tissue mustbe aseptic and moist with warm normal salt solution. Dress with apad of aseptic gauze moistened with salt solution; place over this gauze arubber-dam, and over the latter absorbent cotton and a bandage. In thecase of a child apply a light silicate bandage. If the grafted area is veryextensive or if it is in the lower extremity, put the patient in bed. In forty-eight hours remove all the dressings except the gutta-percha tissue, irrigatewith normal salt solution, and reapply the dressings. All signs of the graftswill often have disappeared. In a day or two more, at the site of grafting,bluish-white spots should appear, which a