File:Modern surgery, general and operative (1919) (14597642298).jpg

Identifier: modernsurgerygen1919daco (find matches)
Title: Modern surgery, general and operative
Year: 1919 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery, Operative
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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cuts long grafts. The grafts are pressedinto place upon the raw surface, and each graft overlaps a little the edges of thewound and the adjacent grafts. The skin wound is dressed antiseptically, andthe grafted area may be dressed as in Reverdins method. If a ring of asepticgauze be made to encircle the limb below the grafted area, and another ringabove the grafted area, and if on these pads little strips of wood wrapped inaseptic gauze be laid, a cage is made, and around this cage the dressings maybe applied (moist chamber plan) (Fig. 926). Wolfes Method.—It was pointed out by Wolfe that a piece of skin, com-prising the entire thickness of that structure, can be successfully transplantedwithout a pedicle. The ulcer is extirpated and asepticized and bleeding isarrested. The flap is cut one-sixth larger than the surface to be covered.Fat is kept out of the graft. This bit of tissue is laid upon the wound, theedges of the graft being brought against the edges of the raw area. It is not
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Fig. 925.—Claw-hand from burn. A flap with apedicle was taken from the chest. The pedicle wascut on ninth day. 1408 Plastic Surgery necessary to employ sutures. The part is dressed in a moist chamber. If thegraft perishes, remove it. Subcutaneous Injection of Paraffin for Prosthetic Purposes.— The principle of injecting solidifying oils into tissues to obtain mechanicaleffects was first laid down by J. Leonard Corning in 1891. The use of paraffinwas introduced by Gersuny to amend the deformity of a saddle-nose. It hasbeen used to limit incontinence of feces, incontinence of urine in women, toprevent reunion of nerves after division, as a counterfeit testicle, to obliteratesmall-pox marks, to narrow a hernial ring, to correct sinking of the cheek afterremoval of the upper jaw, and for other purposes (Moszkowicz, in Wien. klin.Woch., June 20, 1901). Paraffin is not toxic. Its injection may produce someswelling and redness, but applications of cold usually control inflammation.In two

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