Abstract THE USE of cutis and full thickness skin in the repair of fascial defects has become increasingly popular. Its increase in popularity can be attributed to the progress in knowledge of the fate of buried epidermal structures and to the excellence of results obtained in the cases which have been reported. Cutis has been defined by Harkins1 as the deeper layers of skin which have been stripped of their epidermal covering. It is a tough fibrous tissue which usually has some epidermal structures remaining. Figure 1 is an illustration of the removal of the epidermis (A) about 10/1000 inch deep, leaving the cutis (B) about 30/1000 inch. Loewe2 in 1913 and Rehn3 in 1914, working independently, first advocated the use of cutis material in the repair of connective tissue defects. The subject received little interest in this country until 1939, when Uihlein4 reported a review of References 1. Harkins, H. N.: Cutis Grafts: Clinical and Experimental Studies on Their Use as a Reinforcing Patch in the Repair of Large Ventral Incisional Herniae , Ann. Surg. 122:996-1015, 1945.Crossref 2. Loewe, O.: Über Hautimplantation an Stelle der freien Faszienplastik , München. med. Wchnschr. 60:1320-1321, 1913. 3. Rehn, E.: Das kutane und subkutane Bindegewebe als plastisches Material , München. med. Wchnschr. 61:118-121, 1914. 4. Uihlein, A., Jr.: Use of the Cutis Graft in Plastic Operations , Arch. Surg. 38:118-130 ( (Jan.) ) 1939.Crossref 5. Cannaday, J. E.: Some of the Uses of the Cutis Graft in Surgery , Am. J. Surg. 59:409-419, 1943Crossref 6. Cutis Graft in Surgery: A Review of Results Obtained, with Comments on Indications and Technic and Report of Cases , Arch. Surg. 52:286-303 ( (March) ) 1946.Crossref 7. Swenson, S. A., Jr., and Harkins, H. N.: Cutis Grafts: Application of the Dermatome-Flap Method: Its Use in Recurrent Incisional Hernia , Arch. Surg. 47:564-570 ( (Dec.) ) 1943.Crossref 8. Scola, J. V.: Improved Technique for Preparing a Buried Dermal Graft in Hernial Repair , Am. J. Surg. 66:249-251, 1944.Crossref 9. West, W. T., and Hicks, E. S.: Skin as a Supporting Graft in Repair of Herniae , Canad. M. A. J. 58:178-180, 1948. 10. May, H., and Spann. R. G.: Cutis Grafts for Repair of Incisional and Recurrent Hernias , S. Clin. North America 28:517-524, 1948. 11. Mair, G. B.: Use of Whole Skin Grafts as Substitutes for Fascial Sutures in the Treatment of Hernias: Preliminary Report , Am. J. Surg. 69:352-365, 1945.Crossref 12. Goodall, R. G., and Guthrie, R. F.: Repair of Inguinal Hernia with Whole Skin Grafts , South. Surgeon 13:135-138, 1947. 13. Swanker, W. A.: Repair of Fascial Defects with Whole Skin Grafts , Am. J. Surg. 75:677-682, 1948.Crossref 14. Peer, L. A., and Paddock, R.: Histologic Studies on the Fate of Deeply Implanted Dermal Grafts: Observations on Sections of Implants Buried from One Week to One Year , Arch. Surg. 34:268-290 ( (Feb.) ) 1937.Crossref 15. Best, R. R.; Coe, J. D.; McMurtry, G. B., and Henn, M. J.: The Effectiveness of Soaps Containing Hexachlorophene in the Surgical Scrub: Bar Soap in Particular, Arch. Surg., this issue, p. 869.
A.M.A. Archives Surgery – American Medical Association
Published: Nov 1, 1950