Douglas Method of Skin Plastic surgery

Douglas method of skin grafting - (B. Douglas, born in 1891, American surgeon) is used to replace skin defects. The essence of the method is as follows:

1. A flap of skin of the required size is cut out, including the epidermis and part of the dermis.

2. The flap is separated from the underlying tissue, but remains connected to the skin on one side.

3. The flap is turned back on its pedicle, like a book page, and moved to the skin defect.

4. The edges of the flap are fixed with sutures to the edges of the defect.

5. 2-3 weeks after the graft has healed, its pedicle is divided and removed.

The advantage of the method is the ability to cover fairly extensive skin defects with a good cosmetic effect. The disadvantage is the presence of a temporary leg. The method is widely used in plastic surgery.