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March 1961

Exposure in Free Split-Thickness Skin Grafts

Author Affiliations

Section of Plastic Surgery, Mayo Clinic and Mayo Foundation. The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

Arch Surg. 1961;82(3):342-346. doi:10.1001/archsurg.1961.01300090012003

The usual teaching emphasizes the importance of the dressing in the management of a free skin graft. It has been taught that the percentage of "take" of the graft was directly proportional to the quality of the protective and pressure dressing applied. This dressing was responsible for holding the graft firmly in position and in firm contact with the recipient site. If a hematoma developed beneath the graft, it was usually thought, in part at least, to be a fault of the dressing. Until rather recently, little was mentioned concerning the open method of skin grafting. Sano,1 in 1943, described a coagulum contact method of skin grafting, and Young2 reported a year later on 22 free grafts managed without pressure dressings or sutures but by utilization of a method of plasma-thrombin fixation. Actually, the exposure treatment of free skin grafts was referred to 40 years ago in a