Ogawa Rei, Hyakusoku Hiko, Ono Shimpei
Department of Plastic, Reconstructive and Regenerative Surgery, Graduate School of Medicine, Nippon Medical School, Japan.
J Nippon Med Sch. 2007 Dec;74(6):386-92. doi: 10.1272/jnms.74.386.
Skin grafting is a common operative method widely used in the field of plastic, reconstructive, and aesthetic surgery. However, we offer five suggestions to reduce complications and surgical invasiveness. Our tips are as follows. (1) Skin grafts should be harvested on the basis of a swimsuit with high-cut leg openings. (2) A drum dermatome is still useful when a split-thickness skin graft is needed after a full-thickness graft has been harvested. (3) A flower holder is useful for making drainage holes. (4) A tie-over dressing using external wire-frame fixation is recommended. (5) Povidone-iodine gel is recommended with a tie-over dressing. These procedures have been found to be extremely helpful for ensuring the success of skin-grafting procedures.
皮肤移植是整形、重建和美容外科领域广泛应用的一种常见手术方法。然而,我们提供五条建议以减少并发症和手术创伤。我们的建议如下:(1)应根据高开叉腿部开口的泳衣样式来获取皮肤移植片。(2)在获取全厚皮片后如需进行中厚皮片移植,鼓式取皮刀仍很有用。(3)花托有助于制作引流孔。(4)推荐使用外部金属丝框架固定的包扎法。(5)推荐在包扎法中使用聚维酮碘凝胶。已发现这些操作对确保皮肤移植手术的成功极为有帮助。