New methods of skin plasty
Plastic Surgery.New methods of skin plasty.Many surgeons have used various methods of skin grafting and made it the new modifications.Here you need to specify the methods of W. Douglas (1930), L. R. Dragstedt-H.Wilson (1937) and B. Parin.W. Douglas on stretched skin steel punch carved circles at a distance of 1.5 cm from one another.The size of the skin area that was taken for transplantation using the previously measured cellophane plate corresponding to the size of the wound defect.Then a sharp scalpel otseparovyvali flap with holes respectively circles on the skin, which are formed by the action of the punch.Thus received and the "flap-sieve", this method is called.In this method, firstly, the donor epithelialized skin defect rapidly as islets remain epithelium (open circles), and in this area is left scars.Second, the resulting graft can be stretched to cover a large surface area and with
BV Parin advised to take the flap on the front of the abdominal wall or the inner surface of the shoulder.Sterilization iodine was replaced by sponging with alcohol.skin graft removed with a roller, and then laid on a big ball of gauze and make the most stretched.Further ophthalmic scalpel were doing it through a series of punctures, are staggered.The skin is laid over the defect and stretched beforehand superimposed on the edges provisionally seams.Subsequently BV Parin published a monograph "Skin grafting in traumatic injuries" (1943).
New methods of skin plasty.L. R. Dragstedt and N. Wilson transplant were cut out oval-shaped full-thickness skin, but not subcutaneous fat layer.its size was one-third more skin defect size in length, but less than half the width.Then stretched graft (on the frame or gauze) applied incisions staggered to give a flap-sieve having all the advantages of the method of Douglas W., has elasticity and freely covering the defect.Since the transplant is narrow, then closing the skin defect, from which it is taken, producing without much tension fabrics.
also undeniable merits domestic surgeons in those years - Yu Dzhanelidze that issued in 1945, the monograph "Free skin grafts in Russia and in the Soviet Union", and S. L. Schneider - "Method flap-sieve in reconstructive and emergency surgery"(1944).