Fig. 18 Fig. 19 Fig. 18. Technique in injecting pleural sinuses. Fig. 19. Illustrates the application of adhesive plaster around the granulating wound. Fig. 20 Fig. 20. Single drainage before skin-sliding operation. (Case 1.) Fig. 21. Types of incision in skin-sliding operation: Y-shape incision at left: a, long upper flap; b and c, obtuse lateral flaps. X-shape incision at right: 4 flaps of nearly equal size and shape. î granulating Surface. Fig. 22 Plaster Skin Fig. 22. Sketch illustrating the theory of the regeneration of the skin underneath the adhesive plaster: a, margin of growing epithelium; aa, normal skin; b, adhesive covering edges of skin and granulation; c, granulating surface. Fig. 24. Röntgenogram of Case 1, showing size of cavity, partly filled with pus. Patient in sitting pos ture. Fig. 25. Condition before operation, with sketch of proposed Y-shape incision (Case 2). Fig. 26. Skin flap, muscles and fat still attached; raised, and pus cavity opened. The floating pus is clearly seen. Fig. 27 Fig. 27. The cavity has been fully exposed, and the muscles and fat have been removed. The skin flap is ready for insertion. |