Use Of Fascia Research Articles

OX FASCIA LATA FOR RECONSTRUCTION OF ROUND LIGAMENTS IN CORRECTING PROLAPSE OF THE VAGINA

For many years grafts of fascia lata, either autogenous or heterogenous, have been used for the repair of hernia. Autogenous and heterogenous grafts of tendons have also been used to replace tendons lost by injury or disease. The history of the use of these grafts has been so aptly reviewed recently that it little behooves me to repeat it here. The reader is referred especially to an article by Koontz, 1 which outlines the history of the use of fascia for grafts and of the development of preserved fascia for grafts and sutures. To Koontz belongs the credit for devising a practical method of preserving the fascia lata of the ox so that it can be kept in the operating room for use at a moment's notice, as any other suture material. This saves the time of a second operation to obtain autogenous fascia. The success 2 of this preserved

THE USE OF LIVING FASCIA TRANSPLANT TO REPAIR A HERNIA OF THE TIBIALIS ANTICUS MUSCLE

It was over thirty years ago that McArthur 1 first brought out the use of fascia as a suture in the repair of hernia. After incising the external oblique aponeurosis he cut a small strip off the free border of the medial and lateral flaps. He left these attached at their inferior ends. After ligating the sac he used the strip from the medial border to suture the internal oblique muscle to Poupart's ligament under the cord. He then used the strip from the lateral border to suture together over the cord the flaps of the aponeurosis of the external oblique. Three years later he reported ninety-three consecutive cases in which fascia had been used as a suture without recurrence of the hernia. One of his patients died a year after the operation had been performed and he secured the scar. Microscopic sections showed the graft passing through

On pathological and anatomical changes in free skin transplants to other organs and tissues

In surgical practice, attempts to replace mucous or serous membranes with skin have been known for a long time. There are also known cases of using skin instead of the usual use of fascia. So, O. Loewe (1913) in 9 patients with inguinal hernias, retroflexio uteri and other diseases instead of fascia inserted pieces of skin of different length after removal of its surface epithelial layer. In 1927, Prof. Bogolyubov applied free skin grafting in the form of flagellum in 17 cases of gastropexia, bowel obstruction, anus praeternaturalis and for narrowing the femoral or inguinal canal, for hernias; in 4 cases Prof. Bogolyubov used skin flagellum for narrowing the rectal opening with prolapsed rectum. In all operated cases the transplanted tourniquets were implanted along with complete healing of the wound.

USE OF APONEUROSIS OF EXTERNAL OBLIQUE AS A SOURCE OF LIVING SUTURES FOR INGUINAL HERNIOTOMY

In 1881, Gluck,1during his experimenting on the direct transplantation of muscle in chickens, found that tendon remains viable when transplanted. This fact led several surgeons successfully to transplant tendons in man. Kirschner,2in 1910, was the first to suggest the use of fascia for purposes of transplantation; he also suggested its practical possibilities. The next year Lewis and Davis,3by a most finished set of animal experiments, greatly stimulated interest in this field of surgery. These workers followed their first report by a second paper,4clearly demonstrating the practical applicability; particularly the value of the fascial transplant in making up for deficiencies in injured tendon. Lewis and Davis demonstrated that, no matter what the size or shape of the fascial transplant, it remains alive. If placed in the subcutaneous tissues, the fascial graft shrinks to about one-third its original size. If sutured carefully into a