Skin graft harvesting under local anaesthesia

The paper compared three methods of local anaesthesia application used for taking dermoepidermal transplants. 1. Procaine injections: advantage: effectivity; disadvantage: lengthy procedure, uneven surface. 2. Freezing with Kelene: advantage: speed, no preparation needed, good effect; disadvantage: thicker grafts. 3. EMLA local application: advantage: effectiveness, simplicity; disadvantage: none This shows EMLA application as an optimum method. If anaesthesia without preparation needs to be applied quickly, it is advantageous to use Kelene. Undoubtedly, it is a question of the method of choice, standard usage as well as availability of the anaesthetic.