PULL OUT YOUR FAVORITE SCRAPS FOR THIS EASY QUIL, N UNUSUAL TECHNIQUE MAKES (ALMOST) 3D BLOCKS! Pull a variety of fabrics in your favorite styles from your stash for this easy quilt. Give it an all out scrappy look or coordinate the colors around a particular theme. Either way you’ll have a lovely quilt when you’re done. The blocks are super easy to make. Surprisingly, they’re made with squares folded in half for the triangular pieces, giving the quilt a bit of a 3D effect (learn more about the Fold and Sew method here). Of course, you could make the blocks up in the traditional way by stitching squares to form the triangle corners and cutting off the excess. Instructions are not provided for this approach but experienced quilters shouldn’t have any trouble with it. The finished quilt, designed by Lucy Fazely, is 45″ x 63″.
Grafts and flaps – Grafts and flaps are procedures that transfer good tissue to areas that have lost skin. They are widely used in the closure of skin cancer surgeries or in burns. “Flap” is the segment of skin and subcutaneous tissue with its own vascular supply, which will be moved from one area (donor) to another (recipient), for the purpose of filling a surgical wound. There is a communication between the flap and the donor area through a pedicle, which will guarantee its survival. When a surgical wound is created by the removal of a skin tumor, the first step is to try to close it with approximation and primary closure of the edges. If the defect created by the surgical wound is too large, the edges cannot be closed and a skin flap or skin graft is needed. Reconstruction can be performed during the surgery itself, or left for a second time if the patient’s clinical conditions are not favorable.
An average of up to seven days is allowed for a flap. However, the receptor bed must be prepared by reviving the wound edges and reducing the granulation tissue. Some conditions are necessary for the realization of a flap. The type of skin and the donor region must have remnants and mobility, so that the flap reaches the recipient area without traction or vascular suffering in its pedicle. In addition, the new ulcerated area created by the skin donation (secondary defect) should allow a primary closure without difficulties. A graft, on the other hand, is a piece of skin taken from one area of the body – the donor area – and transferred to another area, the recipient area, without any communication pedicle between them. Only later does it develop its own vascularization, thus reestablishing a new blood supply.
The grafts can be classified as follows:
- Full skin graft: characterized by the presence of the epidermis and the full thickness of the dermis.
- Partial skin graft: it is characterized by the preservation of the dermis in the donor area, thus enabling its re-epithelialization, by means of the epithelial cells coming from the pilosebaceous systems and from the sweat glands remaining in the donor area.
- Compound grafts: consist of an intact portion containing the entire epidermis and dermis, with an additional component of fat or cartilage. Ex: chondrocutaneous graft (skin connected to one of the cartilage faces), chondrobicutaneous graft (skin connected to both cartilage faces), dermogordurous graft (dermis with fatty tissue).
- Autograft: when the donor and the recipient are the same individual.
- Homograft or allograft: when donor and recipient are different individuals, but of the same species. Ex: biological dressing (used temporarily).
- Isograft: when donor and recipient are different individuals, but genetically identical. Ex: univitelin twins.
- Xenograft: when donor and recipient are individuals of different species. Ex: biological dressing (pig skin used in humans).
SEE TOO: Garlic Knots Quilt