Recent anatomic studies have helped to clarify our understanding of the blood supply to the skin ... more Recent anatomic studies have helped to clarify our understanding of the blood supply to the skin of the lower extremity. The authors present an overview of available regional flaps for reconstruction in the thigh and leg.
Fourth degree burns of the extremities, that is, burn wounds that go down to denuded bone or tend... more Fourth degree burns of the extremities, that is, burn wounds that go down to denuded bone or tendon, frequently necessitate either amputation of the involved limb or multistage reconstructive procedures involving prolonged hospitalization so that the limb may be salvaged. It is our belief that in these patients free flaps should be considered as a means of initial wound closure. Microvascular procedures under these circumstances may well represent the most expeditious means of salvaging an extremity even when more conventional techniques are available. Studies of a series of patients illustrating this point are presented.
Journal of Burn Care & Rehabilitation, Nov 1, 1989
Biological adhesive fixation of skin grafts has been performed successfully on patients with faci... more Biological adhesive fixation of skin grafts has been performed successfully on patients with facial burns and burns at difficult sites by using autologous human fibrin adhesive, which eliminates the danger of multidonor pool preparations. There are several distinct advantages to the use of fibrin glue: There is no danger of multidonor pool preparations. Wounds do not require any sutures or pressure dressings in the immediate postoperative period. Grafts demonstrate excellent take with minimal postoperative care. The patients can maintain normal ambulation. Fibrin glue seems to be an important factor in the application of skin grafts to burned areas in these two groups of patients.
This article presents the author's experience using the free TRAM flap for immediate brea... more This article presents the author's experience using the free TRAM flap for immediate breast reconstruction at the time of mastectomy. Indications and contraindications, preoperative preparation, and surgical technique are emphasized.
Recent anatomic studies have helped to clarify our understanding of the blood supply to the skin ... more Recent anatomic studies have helped to clarify our understanding of the blood supply to the skin of the lower extremity. The authors present an overview of available regional flaps for reconstruction in the thigh and leg.
Fourth degree burns of the extremities, that is, burn wounds that go down to denuded bone or tend... more Fourth degree burns of the extremities, that is, burn wounds that go down to denuded bone or tendon, frequently necessitate either amputation of the involved limb or multistage reconstructive procedures involving prolonged hospitalization so that the limb may be salvaged. It is our belief that in these patients free flaps should be considered as a means of initial wound closure. Microvascular procedures under these circumstances may well represent the most expeditious means of salvaging an extremity even when more conventional techniques are available. Studies of a series of patients illustrating this point are presented.
Journal of Burn Care & Rehabilitation, Nov 1, 1989
Biological adhesive fixation of skin grafts has been performed successfully on patients with faci... more Biological adhesive fixation of skin grafts has been performed successfully on patients with facial burns and burns at difficult sites by using autologous human fibrin adhesive, which eliminates the danger of multidonor pool preparations. There are several distinct advantages to the use of fibrin glue: There is no danger of multidonor pool preparations. Wounds do not require any sutures or pressure dressings in the immediate postoperative period. Grafts demonstrate excellent take with minimal postoperative care. The patients can maintain normal ambulation. Fibrin glue seems to be an important factor in the application of skin grafts to burned areas in these two groups of patients.
This article presents the author's experience using the free TRAM flap for immediate brea... more This article presents the author's experience using the free TRAM flap for immediate breast reconstruction at the time of mastectomy. Indications and contraindications, preoperative preparation, and surgical technique are emphasized.
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Papers by James Grotting