El-Domeiri A A
Arch Surg. 1976 Feb;111(2):172-4. doi: 10.1001/archsurg.1976.01360200078014.
Sheets of heterologous fascia (bovine fascia) were used to close large defects of the thoracic and abdominal wall in four patients with malignant neoplasms. The material was well tolerated by the body and provided adequate protection and support to the underlying viscera. Although the fascial graft was not covered by skin flaps in two patients with abdominal wall defects, it became readily incorporated into granulation tissue that was receptive to split thickness skin grafts. The fascia was used successfully in a contaminated field and control of active infection was possible without removing the graft. These findings demonstrate that heterologous fascia is particularly useful under conditions that are not suitable for the use of synthetic materials.
采用异体筋膜片(牛筋膜)对4例患有恶性肿瘤的患者的胸腹壁大缺损进行修复。该材料在体内耐受性良好,为深部脏器提供了充分的保护和支撑。尽管2例腹壁缺损患者的筋膜移植物未被皮瓣覆盖,但它很容易融入肉芽组织,后者易于接受断层皮片移植。该筋膜在污染区域成功使用,且无需移除移植物即可控制活动性感染。这些发现表明,在不适合使用合成材料的情况下,异体筋膜特别有用。