Manual of Surgery - Volume First: General Surgery. Sixth Edition. by Alexis Thomson;Alexander Miles
page 37 of 798 (04%)
page 37 of 798 (04%)
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affixed.
As a dressing for the grafted area and of that also from which the grafts have been taken, gauze soaked in _liquid paraffin_--the patent variety known as _ambrine_ is excellent--appears to be the best; the gauze should be moistened every other day or so with fresh paraffin, so that, at the end of a week, when the grafts should have united, the gauze can be removed without risk of detaching them. _Dental wax_ is another useful type of dressing; as is also _picric acid_ solution. Over the gauze, there is applied a thick layer of cotton wool, and the whole dressing is kept in place by a firmly applied bandage, and in the case of the limbs some form of splint should be added to prevent movement. A dressing may be dispensed with altogether, the grafts being protected by a wire cage such as is used after vaccination, but they tend to dry up and come to resemble a scab. When the grafts have healed, it is well to protect them from injury and to prevent them drying up and cracking by the liberal application of lanoline or vaseline. The new skin is at first insensitive and is fixed to the underlying connective tissue or bone, but in course of time (from six weeks onwards) sensation returns and the formation of elastic tissue beneath renders the skin pliant and movable so that it can be pinched up between the finger and thumb. _Reverdin's_ method consists in planting out pieces of skin not bigger than a pin-head over a granulating surface. It is seldom employed. |
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