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June 1940


Author Affiliations

From the Department of Surgery, Washington University School of Medicine.

Arch Surg. 1940;40(6):1192-1210. doi:10.1001/archsurg.1940.04080050155014

Attention to the special details of preoperative and postoperative care may make the difference between success and failure in plastic operations. This requires the cooperation of an enthusiastic and well trained surgical house staff and nursing staff plus a great deal of personal care by the surgeon himself.

PREPARATION  The patient should be examined carefully for possible cutaneous infections, as a small pimple anywhere on the body may be a contraindication to operation.Routine laboratory work should be done, but if there are multiple admissions close together this may be slackened somewhat. The clotting time and bleeding time should be noted in all cases in which extensive procedures are to be undertaken and especially if there is to be much undermining, as in raising a large flap. Steps should be taken to correct any abnormalities in the clotting time if possible; if not, the operation should be delayed.Sedation the

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