Abstract

Most venous ulcers respond to compression bandaging, but a small number do not respond. For these resistant ulcers, a skingrafting technique usable in an outpatient department is described. Under local anæsthetic a piece of skin, a little smaller than the ulcer in area, was removed with a scalpel and cut into 1 cm. square pieces which were placed on the ulcer. The graft area was covered in gauze and Bisgaard bandage. The grafts survived intact in twenty-one out of twenty-five cases, enabling sclerosant or surgical therapy to be attempted.

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