Fasciectomy For Dupuytren Research Articles

PLASTIC PRINCIPLES IN COMMON SURGICAL PROCEDURES.1

Summary of Indications for the Grafting of Wounds with Skin LossWe can summarize then how the main indications arise for primary skin grafting of wounds with skin. loss.l. The traumatic wounds which, by their nature or by surgical débridement, can be rendered clean surgical wounds. These would include: (a) Certain wounds from mechanical trauma, mostly industrial or transport accidents (Figures IIIA, IIIB, IIIC and IIID). (b) Certain burns suited to primary excision–that is, localized burns of third degree, typically electrical or chemical burns which can be well excised early (Figures IVA, IVB, IVC, IVD, IVE).2. The surgical wounds with skin loss, made at diverse operations. These operations would include: (a) Excisions of skin lesions, mostly neoplasms, innocent or malignant. (b) Operations in which skin excisions are necessary in relation to deeper lesions. For example: (i) in fasciectomy for Dupuytren's contracture when there is extensive skin involvement, (ii) in radical operations for carcinoma of the breast with skin involvement, (iii) excision of certain pilonidal cyst lesions, (c) Excision of “chronic” unhealed wounds or unstable wounds in which secondary intention healing may have failed by the increasing ischaemia of local fibrosis, (d) Adjuncts to various other plastic procedures, as we shall see later, in relation to the donor areas of certain flaps or whole skin grafts.