Text book of Surgical Operations : Illustrated By Clinical Observations, for Physicians And Students V.1

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All mechanical injury of the edges of the flap, such as might be caused by the pressure of forceps, is avoided by holding it considerately between the fingers. In dissecting oft' the skin tlie knife blade is directed toward the skin and not toward the substratum, in order to free the flap evenly and with- 114 PLASTIC OPERATIONS OX THE FACE out any morsels of fat remaining. As in the Thiersch method, any part of the body may properly be submitted to this form of trans- plantation. However, flaps... from the thigh or upper arm, particularly upon the flexor asjiect, show a stronger disposition to heal on than skin from the buttock.
The free flajj is unfolded and lightly pressed against the floor of the previously prepared wound until it adheres throughout. Only exceptionally, for instance in portions of the face which are very movable, is the application of a holding suture at the edge necessary.
Ordinarily a well-applied dressing is sufficient to hold the rapidly ad- hering flap fast in its new situation without suture.


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