Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
The credit of first collecting data of plastic operations belongs to
Szymanowski, of Russia. In his magnificent volume of surgery (1867), he
embodies a somewhat thorough treatise on restorative surgery, leaving
the subject to be treated more fully and independently, as it should be,
to some other enthusiastic surgeon specialist. His work is the result
of careful study of such operations on the cadaver, a method much to be
recommended to the prospective or operating plastic surgeon.
Several years later, 1871, Reverdin added a valuable method to the still
incomplete art, by introducing the now well-known circular epidermal
skin grafts for covering granulating surfaces. Thiersch improved this
method in 1886 by showing that comparatively large pieces of skin could
be transplanted. Wolfe, of Glasgow, had also been successful in utilizing
fairly large skin grafts.
Krause, however, improved upon all of these methods by transplanting
large flaps of skin without detaching the subcutaneous tissue, a
procedure which causes more or less injury to the graft in other methods,
and by his method overcoming the subsequent contraction, heretofore a bad
feature when the skin-grafted area had healed.
“The results of most plastic operations have been as satisfactory as the
most sanguine could hope for or the most critical expect,” says John Eric
Erichsen.
Many important additions have been made in the past few years—the outcome
of untiring attempt and skill. Czerny replaces part of an amputated
breast with a fatty tumor taken from the region of the thigh. Glück
successfully repairs a defect in the carotid artery with the aid of a
piece of the jugular vein. Glück, Helferich, and others have advocated
implanting muscular tissue taken from the dog into muscular deficiencies
in the human, due to whatever cause.
The transplantation of a zoöneural section into a defect of a nerve in
the human was successfully accomplished by Phillippeaux and Vulpian.
Glück, who later restored a sciatic nerve in a rabbit by the
transplantation of the same nerve taken from a hen, went so far as to
restore a 5-cm. defect of the radial nerve of a patient by the employment
of a bundle of catgut fibers, fully establishing the function of the
nerve within a year’s time.
Guthrie has successfully replaced the organs and limbs of animals and has
actually transplanted the heads of two dogs.
The transplantation of a toe, to make up a part of a lost finger, is
proposed by Nicoladoni. Van Lair hints at the possibility of removing a
part or a whole organ immediately before death to repair other living
organs.
Von Hippel has successfully implanted a zoöcorneal graft from a rabbit
upon the human eye, and Copeland has taken the corneal graft from one
human and transplanted it upon the cornea of another to overcome opacity.
Public-domain text, read in full here on John Shaqi.
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