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E. LAWRENCE KEYES, M.D.; BRAY O. HAWK, M.D.; CHARLES S. SHERWIN, M.D.

AMA Arch Surg. 1953;66(4):446-451.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

HALSTED,¹ when closing wounds of radical mastectomy, stitched the axillary flap of skin "by interrupted, buried sutures of very fine silk to the fascia just below the first rib in such a way that the skin partly enveloped the large vessels." Up to 1913, Halsted apparently sutured the axillary skin flap only when grafting skin; since 1949 others² have begun to suture the axillary skin flap not only when grafting, but also when not grafting, for reasons which will appear in this paper. It is the axillary flap, rather than the chest flaps, which is most in need of basting, whether skin is grafted or whether it is not grafted, a fact which it took us years to appreciate.

For obtaining uncomplicated healing of mastectomy wounds, suture fixation of the axillary skin flap has proved superior to mechanical pressure in the axilla. Objectives, however, are identical whether suturing . . . [Full Text PDF of this Article]

Author Affiliations
ST. LOUIS

Footnotes
Read at the Sixtieth Annual Meeting of the Western Surgical Association, Houston, Texas, Dec. 4, 1952.

This study was from the Department of Surgery, St. Louis University School of Medicine, aided in part by Grant CT 619 of the United States Public Health Service, by the Missouri Division of the American Cancer Society, and by the Missouri State Division of Health.

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