Zachmann G C, Foresman P A, Bill T J, Bentrem D J, Rodeheaver G T, Edlich R F
Department of Plastic Surgery, University of Virginia School of Medicine, Charlottesville 22908.
J Appl Biomater. 1994;5(3):221-6. doi: 10.1002/jab.770050307.
The most recent advance in skin sampling is the Auto Suture SQS -20 disposable stapler. It approximates and everts wound edges, placing one synthetic absorbable pin in the dermis each time the instrument handle is activated. Staple wound closure was accomplished four times faster than sutural closure of the dermis. Wounds with staple pin closure exhibit superior resistance to infection than wounds approximated by dermal sutures. Although sutures provide more immediate wound security, as measured by wound breaking strength, than dermal pins, the breaking strength of wounds subjected to either dermal pins or dermal sutures were not significantly different 14 days after wounding.
皮肤取样的最新进展是自动缝合SQS - 20一次性吻合器。它使伤口边缘靠近并外翻,每次激活器械手柄时在真皮层放置一根合成可吸收钉。吻合器闭合伤口的速度比真皮层缝合快四倍。用吻合钉闭合的伤口比用真皮缝线对合的伤口表现出更强的抗感染能力。尽管就伤口断裂强度而言,缝线比真皮钉能提供更即时的伤口稳固性,但在受伤14天后,接受真皮钉或真皮缝线处理的伤口的断裂强度并无显著差异。