By Dr. Henk J. Klasen (auth.)
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Extra resources for History of Free Skin Grafting: Knowledge or Empiricism?
It may well be that the too brief period of rest prescribed after grafting was one of the reasons why results were so often disappointing. To prevent injuries and swelling of the leg, after transplantation Fischer (1880) prescribed elastic bandages for his patients. The First Wound Inspection Premature and too-frequent inspection of grafted wounds was considered to be harmful. Nevertheless, several surgeons inspected the wounds on the very first day after operation (Reverdin 1869; Storch 1871; Weiss 1872; Nehse 1872).
Every surgeon who used full-thickness skin grafts was convinced that the subcutaneous fat had to be carefully removed because otherwise the grafts would not, or only insufficiently, become attached to the wound surface (Woodman 1871; lacenko 1871 b; Lindenbaum 1871; Bryant 1872; Weiss 1872; Menzel 1872) (Fig. 8). Peet (1977) mistakenly assumes that Wolfe (1875) was the first to under- Fig. 8. Healing of a wound by skin grafts, shown in three phases. Illustrations from an article of Bryant (1872) 24 Skin Grafting by the Reverdin Method and Subsequent Developments stand the importance of removing the subcutaneous fat.
Maxwell (New Castle, Delaware) grafted a fragment of his own skin onto a granulating facial defect in a negro. The graft was accepted and increased in size. The area at first remained white, but gradually changed its colour and was entirely black (the cicatrix) after three months. Maxwell loosely explained this by assuming that skin colour is determined by the blood, and that the graft cells play no role in this respect. Another question which attracted attention was whether skin from young individuals had better healing properties than that from aged people.