Technique References Regular industrial foam rubber plates (lx2 m) in various strengths 1. Kaplan HY (1989) A quick stapler tie-over fixation for skin are cut in different sizes, sterilized and individually packed. The grafts. Ann Plast Surg 22:173 skin grafted areas are covered with vaseline and gauze sponges to 2. Hill TG (1980) A simplified method for closure of full thick- achieve optimal moist conditions and gentle uniform pressure. Af- ness skin grafts. J Dermatol Surg Oncol 6:892 ter stapler fixation of the foam and the graft at one wound margin, 3. Larson PO (1990) Foam rubber stents for skin grafts. J Der- it is trimmed with a knife and stapled under mild pressure (Fig. 1). matol Surg Oncol 16:851 The first dressing change is usually performed after five days without anesthesia. Discussion Various procedures and materials have been used as tie- over dressings. Biomedical foam rubber in different standardized sizes and strengths is still expensive and can only be used in relatively small areas. Ordinary in- dustrial foam rubber has the advantages of flexibility, stability and continuous pressure support without slip- ping of the dressing. Wide wound areas can be covered without patient immobilization (Fig. 2). Dressing chang- es are performed without anesthesia, the material is in- expensive, approximately $ 3.00/m 2. It is an attractive H. Schepler method when compared to traditional materials. European ~1hl ,d 0 :; :: ......... © Springer-Verlag 1997 Eur J Plast Surg (1997) 20:228 Unger, W.P. (ed): Hair transplantation. Third edition, revised Berger, A., Delbriick,A., Brenner, P., Hinzmann, R. (eds) with 57 collaborators: Dupuytren's disease. Pathobiochemistry and and expanded. New York: Marcel Dekker Inc. 1995. 840 pages, clinical management. Berlin: Springer 1994. 301 pages, 143 il- 900 illustrations. US$195,00. ISBN 0-8427-9363-3. This is the third edition of an extremely comprehensive trea- lustrations in black and white, index, soft cover. DM 148.00. tise on hair transplantation edited by Walter Unger who is well ISBN 3-540-57239-2. known and has extensive experience in the field. In this book he Dupuytren's disease is responsible for a considerable portion has managed to give not only his own experience, but has enlisted of disabilities of the hand in many parts of the world. In this handy book a distinguished group of internationally renowned cli- the help of many other pioneers in the field of hair transplantation. All techniques to reduce baldness are addressed including scalp nicians and basic researchers discuss the present state of knowl- edge of the etiology and pathogenesis of Dupuytren's contracture. reduction, tissue expansion, scalp flaps and medical treatments such as minoxidil. The techniques of minigrafting ad micrograft- The book is an extended protocol of the presentations and discus- ing are explained in detail, together with panel type discussions on sions concerning the progress in this field, conducted at the Han- nover Symposium on Pathobiochemistry and Clinical Manage- various author's preferences. Material as recent as September 1994 is included. For anyone who practices hair transplantation or ment of Dupuytren's Disease in 1991. The volume starts with the would like to commence, this is a thorough, well-referenced vol- presentation of new morphological aspects of the pathogenesis of Dupuytren's disease. In parts II-VI a comprehensive delineation ume on the subject. My first criticism was that the book is surely too long, but after reading it and considering the material con- of general connective tissue patho-biochemistry is followed by an extensive discussion on metabolic aberrations and abnormities of tained within this criticism was soon dismissed. Information from the macro-molecular extracellular structure of the palmar fascia. pathophysiology to the names and addresses of suppliers of equip- ment is included, and illustrations and photographs are of high Finally, parts VII and VIII deal with the methods to detect such abnormalities and give the brief overview on the progress in diag- quality. nosis and treatment procedures. As stated by the editors, this ex- The overwhelming feel about this book is good guidance in tended report of the Hannover conference is primarily directed to creating a significant but undetectable result. I feel this has been those colleagues and research groups who pursue research in this achieved and would recommend it to those in or entering the field. field and could not attend the conference. The reviewer also (P. Callan, Victoria) warmly recommends it for the surgeons frequently operating on the patients affected by the Dupuytren's disease, who wish to broaden their knowledge about the still unsolved mystery of its pathogenesis. (I. Niechajev, Stockholm-Linding6)
European Journal of Plastic Surgery – Springer Journals
Published: Jul 1, 1997
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