In the literature of pathology there are many cases described in which
parts of the body of mammals, particularly internal organs, have been
grafted in unusual regions. The results have not always been the same,
for while in some cases it appears that the operation has succeeded, in
others the grafted part is subsequently absorbed, and in still other
cases the graft may be at first partly absorbed and later begin to grow
again. It appears that the establishment of an adequate blood supply is
the most important element of success. Ribbert, who has made an
extensive and successful series of experiments, has stated that the
grafting takes place better when small pieces of an organ are used,
since these can draw immediately on the surrounding regions for their
oxygen, etc., while larger pieces are found to break down in the
interior, owing to the fact that this part is too far removed from the
supply of oxygen, food, etc. After the grafted piece has established a
blood supply of its own, it may continue to grow. Ribbert transplanted
small pieces of different tissues of the rabbit and guinea pig in, and
upon the surface of, the lymph glands of the same or of another
individual. The lymph gland was chosen because small pieces of tissue
can be afterwards easily detected. A small piece of tissue about as
large as a pin’s head is cut off from whatever tissue is to be grafted,
and as quickly as possible placed in a small cleft made in the lymph
gland. After several days, weeks, or months, the gland is removed and
the graft examined by means of serial sections.
Most of the experiments were made with “epithelial organs,” and
according to Ribbert, if pieces of such organs are composed of
epithelium only, they cannot be successfully grafted. For instance, the
cells of the cornea can be readily separated from their underlying
connective tissue, and can be kept alive in the lymph gland, but the
cells diminish in number, show retrogressive metamorphosis in the
direction of atrophy, and are finally absorbed. It seems that epithelium
by itself cannot extract nourishment from its surroundings. Nothing is
easier, however, than to transplant epithelium, if its connective tissue
is present. The connective tissue furnishes so good a basis for
nourishment that the epithelium not only lives, but may continue to
proliferate. Ribbert finds that pieces of skin roll in after their
removal. Then a process of growth takes place corresponding to that
which follows a wound in the skin. The surface is closed and a small
cyst is formed with a central cavity. The epithelium undergoes no
changes during the first days or weeks. It remains stratified and shows
an active process of cornification and desquamation. Similar results
were obtained when pieces of the conjunctiva were transplanted, either
under the skin in the anterior chamber of the eye, or in the lymph
gland.
Public-domain text, read in full here on John Shaqi.
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