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Exposure in Free Split-Thickness Skin Grafts

Exposure in Free Split-Thickness Skin Grafts Abstract The usual teaching emphasizes the importance of the dressing in the management of a free skin graft. It has been taught that the percentage of "take" of the graft was directly proportional to the quality of the protective and pressure dressing applied. This dressing was responsible for holding the graft firmly in position and in firm contact with the recipient site. If a hematoma developed beneath the graft, it was usually thought, in part at least, to be a fault of the dressing. Until rather recently, little was mentioned concerning the open method of skin grafting. Sano,1 in 1943, described a coagulum contact method of skin grafting, and Young2 reported a year later on 22 free grafts managed without pressure dressings or sutures but by utilization of a method of plasma-thrombin fixation. Actually, the exposure treatment of free skin grafts was referred to 40 years ago in a References 1. Sano, M. E.: A Coagulum Contact Method of Skin Grafting as Applied to Human Grafts , Surg. Gynec. & Obst. 77:510-513 ( (Nov.) ) 1943. 2. Young, F.: Skin Graft Fixation by Plasma-Thrombin Adhesion , Ann. Surg. 120:450-462 ( (Oct.) ) 1944. 3. Davis, J. S.: Plastic Surgery: Its Principles and Practice , Philadelphia, The Blakiston Company, Division of McGraw-Hill Book Company, Inc., 1919, 770 pp. 4. Wallace, A. B.: Treatment of Burns, a Return to Basic Principles , Brit. J. Plast. Surg. 1:232-244 ( (Jan.) ) 1949. 5. Evans, A. J.: The Early Treatment of Burns at a Regional Plastic Centre: With a Review of 100 Cases Treated by Exposure , Brit. J. Plast. Surg. 5:263-274 ( (Jan.) ) 1953. 6. Sherman, P.: The Open Method of Skin Grafting , Am. J. Surg. 94:869-872 ( (Dec.) ) 1957. 7. Jenney, J. A.: Open Method of Free Skin Grafting , Am. J. Surg. 82:396-401 ( (Sept.) ) 1951. 8. Gullick, H. D.: Exposure and Natural Fixation of Split-Thickness Skin Grafts , A.M.A. Arch. Surg. 80:244-251 ( (Feb.) ) 1960. 9. Cannon, B.: Open Grafting of Raw Surfaces , New England J. Med. 256:672-675 ( (April) ) 1957. 10. Calnan, J., and Innes, F. L. F.: Exposed Delayed Primary Skin Grafts: A Clinical Investigation , Brit. J. Plast. Surg. 10:11-24 ( (April) ) 1957. 11. Holman, S. P.; Shaya, E. S.; Hoffmeister, F. S., and Edgerton, M. T., Jr.: Studies on Burns: I. The Exposure Method vs. Occlusive Dressings in the Local Treatment of Experimental Burns , Ann. Surg. 143:49-56 ( (Jan.) ) 1956. 12. Brown, P. M.; Masson, J. K., and Elkins, E. C.: Use of the Hubbard Tank as an Adjunct in the Management of Severe Burns , Minnesota Med. 42:1080-1083 ( (Aug.) ) 1959. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Exposure in Free Split-Thickness Skin Grafts

Archives of Surgery , Volume 82 (3) – Mar 1, 1961

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1961.01300090012003
Publisher site
See Article on Publisher Site

Abstract

Abstract The usual teaching emphasizes the importance of the dressing in the management of a free skin graft. It has been taught that the percentage of "take" of the graft was directly proportional to the quality of the protective and pressure dressing applied. This dressing was responsible for holding the graft firmly in position and in firm contact with the recipient site. If a hematoma developed beneath the graft, it was usually thought, in part at least, to be a fault of the dressing. Until rather recently, little was mentioned concerning the open method of skin grafting. Sano,1 in 1943, described a coagulum contact method of skin grafting, and Young2 reported a year later on 22 free grafts managed without pressure dressings or sutures but by utilization of a method of plasma-thrombin fixation. Actually, the exposure treatment of free skin grafts was referred to 40 years ago in a References 1. Sano, M. E.: A Coagulum Contact Method of Skin Grafting as Applied to Human Grafts , Surg. Gynec. & Obst. 77:510-513 ( (Nov.) ) 1943. 2. Young, F.: Skin Graft Fixation by Plasma-Thrombin Adhesion , Ann. Surg. 120:450-462 ( (Oct.) ) 1944. 3. Davis, J. S.: Plastic Surgery: Its Principles and Practice , Philadelphia, The Blakiston Company, Division of McGraw-Hill Book Company, Inc., 1919, 770 pp. 4. Wallace, A. B.: Treatment of Burns, a Return to Basic Principles , Brit. J. Plast. Surg. 1:232-244 ( (Jan.) ) 1949. 5. Evans, A. J.: The Early Treatment of Burns at a Regional Plastic Centre: With a Review of 100 Cases Treated by Exposure , Brit. J. Plast. Surg. 5:263-274 ( (Jan.) ) 1953. 6. Sherman, P.: The Open Method of Skin Grafting , Am. J. Surg. 94:869-872 ( (Dec.) ) 1957. 7. Jenney, J. A.: Open Method of Free Skin Grafting , Am. J. Surg. 82:396-401 ( (Sept.) ) 1951. 8. Gullick, H. D.: Exposure and Natural Fixation of Split-Thickness Skin Grafts , A.M.A. Arch. Surg. 80:244-251 ( (Feb.) ) 1960. 9. Cannon, B.: Open Grafting of Raw Surfaces , New England J. Med. 256:672-675 ( (April) ) 1957. 10. Calnan, J., and Innes, F. L. F.: Exposed Delayed Primary Skin Grafts: A Clinical Investigation , Brit. J. Plast. Surg. 10:11-24 ( (April) ) 1957. 11. Holman, S. P.; Shaya, E. S.; Hoffmeister, F. S., and Edgerton, M. T., Jr.: Studies on Burns: I. The Exposure Method vs. Occlusive Dressings in the Local Treatment of Experimental Burns , Ann. Surg. 143:49-56 ( (Jan.) ) 1956. 12. Brown, P. M.; Masson, J. K., and Elkins, E. C.: Use of the Hubbard Tank as an Adjunct in the Management of Severe Burns , Minnesota Med. 42:1080-1083 ( (Aug.) ) 1959.

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1961

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