Strengthening of pieces of skin in the granulation

In a prepared granulation with a scalpel do in staggered order at a distance of 2-2,5 cm from one another "pockets" (niche), and put the pieces of skin. For this sharp-pointed scalpel plunge in granulation tissue at an angle 18-20 degree Celsius at a depth of 10-15 mm, then it lightly away and formed a "pocket" put tweezers piece of skin epidermis out. After that scalpel carefully remove and slightly press the valve from granulation tissue that covers the piece of skin.
Nested in the "pocket" piece of leather is well kept in the beginning valve pockets, and then pasted fallen by fibrin. Especially fast fibrin falls in cattle, forming a strong bond between them and between the transplant and surrounding tissues.
When to transplant skin in small pieces on granulating surfaces, which are localized in the lower part of the chest, abdomen, groin, and in some cases on the limbs, P. F. Simbirtsev recommends that you do instead of "pockets" H-shaped incision, which has two parallel section and third, their connecting, make the length of 10 - 12 mm and a depth of 8-10 mm Formed two valve slightly otrabativaut and pull back, in the resulting gap, put a piece of transplanted skin epidermis out. Due to the elasticity of granulating "shutters" transplanted piece pressed tightly to the subject tissues. In 30-40 minutes after transplantation of skin pieces (when will stop the bleeding and will dry up the blood) all granulating surface with a transplanted grafts poured a thick layer of molten ointments of vaseline and leave open (Fig. 5). In subsequent every 3-4 days again put the indicated ointment on the wound surface.
P. F. Simbirtsev, Ya. I. Shneiberg in these cases it is recommended to apply irrigation liquid Vishnevsky ointment.
Since 3-4 days after transplantation appoint thermal procedures. On 9-11 day produce toilet wound surface, carefully removing brown dried blood and exudation. Usually by this time projivshii pieces of skin firmly attached to the subject tissues, and covering them with a layer of blackened dead tissue granulation tissue.
At 12-15 day at the edges projivshii pieces marked growth of the epithelium. Granulating plots between grafts, rapidly covered by the epithelium. Gradually these areas is formed in the form of narrow strips, as a rule, pigmented soft, active and painless scar.
Thus, applying transplantation small pieces, you can use a small skin graft to achieve in a short period of healing vast burn surface. Today it is probably the most accessible method for a wide veterinary practice in the treatment of extensive burns (wound) of the surfaces of large animals.
The disadvantage of this method of closing large granulating surfaces education is uneven, mosaic type of epithelium with very rare wool, which grows in different directions.