title: [Free skin transplants. Method for the optimization of the operations].
abstract: A historical survey precedes a discussion about the possibilities and limitations of free skin grafting. Although full thickness skin grafts are more resistant than split-thickness grafts, these are less demanding to the recipient site. In severe surgical defect wounds the wound bed should be conditioned using synthetic skin substitute Epigard prior to final wound closure. By using this temporary synthetic skin substitute the development of granulation tissue is being controlled. In an effort to optimize the adaptation of the graft on the wound surface, a technique of our own is being introduced. If the bordering granulation tissue at the wound edge is beveled by means of a high-speed milling cutter at an angle of 30 degrees, an equal-levelled adaptation is achieved.
mesh_terms: D006801:Humans; D008545:Melanoma / Q000601:surgery; D008866:Microsurgery; D012878:Skin Neoplasms / Q000601:surgery; D013524:Surgical Flaps; D014945:Wound Healing; D014946:Wound Infection / Q000601:surgery
vernacular_title: Die freien Hauttransplantate. Methodik zur Optimierung der Operationen.