TY - CHAP M1 - Book, Section TI - Principles of Skin Grafting and Flaps A1 - Yuen, James C. A2 - Morita, Shane Y. A2 - Balch, Charles M. A2 - Klimberg, V. Suzanne A2 - Pawlik, Timothy M. A2 - Posner, Mitchell C. A2 - Tanabe, Kenneth K. PY - 2018 T2 - Textbook of Complex General Surgical Oncology AB - The grafting of skin originated among the tile-maker caste in India approximately 3000 years ago.1 In 1804, an Italian surgeon, Baronio, successfully performed a full-thickness skin autograft of a lamb.2 Since then, numerous pioneers and historical developments have evolved making this procedure common place among almost all surgical disciplines. With proper techniques and instrumentation, and the exercise of appropriate principles, skin grafting has become a reliable and successful operation for wound coverage. In situations in which the wound or defect is not amenable to a skin graft, or in which the defect is better served with more durable coverage, flap coverage would be performed instead. The use of flaps for reconstruction dates back to 600 bc with the earliest recorded application of pedicle flaps for nasal reconstruction, which was attributed to the Sushruta Samhita.3 It was not until the 1960s to 1970s with the advancement in the understanding of anatomy and medical technology (microsurgical instrumentation) that the reconstruction field experienced an explosion in the development of new categories of flaps and ever-increasing named flaps based on blood supply and location of origin. In this chapter, the reader is introduced to the general principles of skin graft and flap surgery. Other chapters demonstrate the applications of various flaps in reconstruction of oncological defects; therefore, clinical application of flaps is not thoroughly discussed in this chapter. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - hemonc.mhmedical.com/content.aspx?aid=1145766052 ER -