Morita Reiji, Ishikura Naotaka, Kawakami Shigehiko, Heshiki Takaya, Shimada Kenichi, Kurosawa Tomoko
Department of Plastic and Reconstructive Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinadamachi, Ishikawa, Japan.
Burns. 2002 May;28(3):267-9. doi: 10.1016/s0305-4179(02)00026-8.
Split-thickness skin grafts (STSGs) from the scalp have been used in large burns. The donor site wounds are usually covered using occlusive dressings, such as film dressings because they contribute to reduce donor site pain and infection under exudative crust and to enhance re-epithelialization. However, it is not always easy to fix such film dressings to the scalp because of the presence of hair. In this paper, we report the use of skin staplers to fix the film dressings. Eight donor sites in four patients were dressed in this way. The patients had 50-78% of the body burned, all of them survived. The mean healing time for the donor sites was 6.8 days. Three patients had their scalps re-harvested several times (range two to three times). There were no infections nor secondary skin ulcers at the donor sites. The technique of this dressing is very simple and speedy, thus we recommend the use of skin staplers to fix the film dressing to scalp donor wounds in patients with burns.
头皮的中厚皮片（STSGs）已被用于大面积烧伤治疗。供皮区伤口通常使用封闭敷料覆盖，如薄膜敷料，因为它们有助于减轻供皮区疼痛，减少渗出结痂下的感染，并促进上皮再形成。然而，由于有头发，将此类薄膜敷料固定在头皮上并不总是容易。在本文中，我们报告了使用皮肤吻合器固定薄膜敷料的情况。4例患者的8个供皮区采用这种方法进行包扎。患者身体烧伤面积为50 - 78%，均存活。供皮区的平均愈合时间为6.8天。3例患者的头皮被多次取皮（范围为2至3次）。供皮区没有感染，也没有继发性皮肤溃疡。这种包扎技术非常简单快捷，因此我们建议在烧伤患者中使用皮肤吻合器将薄膜敷料固定在头皮供皮区伤口上。
