The first dressing change was done 48 h later. An amount of retained pus was released. No trace of the grafts could be seen. Disappointingly enough, no grafts were visible when the dressing was changed the next day. However, on the fourth day, a leaden-white speck was visible at the site of one of the grafts. A day later, the two other grafts, “or the products thereof’, were visible. Over the ensuing days the specks of grafts grew quickly in size. On the 20th day, the ulcer was completely closed except for a space the size of a pea, between the grafts. During this period, the patient was kept on complete bed rest.
The second case was a 59-year-old man with a six year history of an ulcer over the right tibia, which had required multiple admissions. He was admitted on January 30, 1871, and subjected to the same care as the first patient. On March 10, one day before the first patient, the 2)2 by 2)2 inch ulcer was grafted. On March 30, the ulcer was completely closed. Dr Hingston was fascinated by the grafting process. “The rapidity of the cure was marvellous. I have never seen anything in surgery which interested me more”. You are always offered finest quality Start online shopping right now and see how great it feels to know you are saving more money than you are spending: all that is possible whenever you buy levaquin 500 mg at the best pharmacy you can actually choose yourself right now. at the pharmacy you can fully trust and enjoy being its customer. Why wouldn’t you, if it offers lowest prices in the industry and fast delivery that can be free for some orders?

From these cases, Dr Hingston felt that the following principals must be adhered to if grafts were to succeed:

1. Healthy granulations must be obtained before grafting.
2. The size of the grafts was of no importance. In fact, he felt that the smaller the grafts, the better.
3. Skin alone, with no underlying fat, must be used.