ABSTRACT
Skin grafts in vascular pathology, which were until now the prerogative of surgeons when the technique is complex and requires specific devices, are currently becoming available to all mainly with the use of the disposable Sanchez dermatome, at a very reasonable cost. This dermatome is characterized by a sharp edge which is only but a common razor blade, easy to get. Its use is so simple that it may be used even without a large experience of the grafting technique. The authors describe their technique in ambulatory. They point out its efficacy, its simpleness, its reduced cost for the patient as well as for social bodies. They insist on: preparation of the ulcer bed, the graft itself, the treatment of the cause. "A closed ulcer is not a cured ulcer".