Carrington P R
Carrington Dermatology, Rogers, Arkansas 72756, USA.
Dermatol Surg. 2000 Oct;26(10):929-30. doi: 10.1046/j.1524-4725.2000.026010929.x.
For decades benzoin has been used to enhance the "stickiness" of the skin for improved adherence complementing the protective and functional aspects of well-constructed surgical bandages/dressings. The fully adherent and longer-lasting pressure dressing is both aesthetically pleasing to the patient (and surgeon) and, at the same time, functions to decrease seroma or hematoma formation, enhances antisepsis by blocking transient bacterial contamination, and inhibits traumatic sabotage of surgical wounds due to patient overactivity or inadvertent collision with a door jam, car door, table leg, or grandchild, etc. Also, when the bandage looks good, the patient realizes the operation was a success (at least aesthetically). Although simple, our additional steps of deoiling the skin with acetone, followed by multiple compress/release cycles of gauze to the Mastisol area reaps benefits to the patient and surgeon both in function (adherence) and in the production of a truly "dressy" beautiful and long-lasting dressing. In this way, the dressing "bed" is not only more receptive to one's aesthetically pleasing bandage, but is more tacky, yet refined. This same technique can be utilized prior to application of adhesive strips to healing wounds after sutures have been removed, allowing them to "stay on" longer with potentially better cosmesis and less spreading of the scar.
几十年来，安息香一直被用于增强皮肤的“黏性”，以提高贴合度，从而补充精心制作的手术绷带/敷料的保护和功能方面。这种完全贴合且持久的压力敷料在美观上令患者（和外科医生）满意，同时，它还能减少血清肿或血肿的形成，通过阻止短暂的细菌污染增强抗菌效果，并抑制因患者过度活动或意外撞到门框、车门、桌腿或孙子等而对手术伤口造成的创伤性破坏。此外，当绷带外观良好时，患者会意识到手术是成功的（至少在美观方面）。虽然方法简单，但我们额外采取的步骤，即用丙酮去除皮肤油脂，然后在玛蒂索（Mastisol）区域对纱布进行多次按压/松开循环，这对患者和外科医生在功能（贴合度）以及制作出真正“美观”、持久的敷料方面都有好处。通过这种方式，敷料“基底”不仅更容易接受美观的绷带，而且黏性更强，同时更精致。在拆除缝线后的愈合伤口上应用粘合条之前，也可以使用同样的技术，使它们“粘贴”的时间更长，可能会有更好的美容效果，并且减少疤痕扩散。
