Department of Surgery, Marshfield Clinic, WI, USA.
Surg Clin North Am. 2010 Dec;90(6):1125-32. doi: 10.1016/j.suc.2010.09.001.
The purpose of this article is to review the concepts behind, and practice of, wound surgery. The techniques of wound surgery, born of necessity in the art of military surgeons, have found their renaissance in the modern age of wound care driven by the economic and functional considerations inherent to the outcome-based management of chronic disease. Over 300 years of literature on wound healing has shown an innate ability of the wound (in the absence of infection and repeated trauma) to control its progress, largely through the local inflammatory cells. This article discusses several historical works on wound surgery and healing, topical wound therapy, minimal intervention, and emphasizes the closure of chronic wounds.
本文旨在回顾伤口外科的概念和实践。伤口外科技术源于军事外科医生的需求,在以慢性疾病结果管理为基础的经济性和功能性考虑的推动下,在现代伤口护理中得到了复兴。超过 300 年的伤口愈合文献表明,伤口(在没有感染和反复创伤的情况下)具有控制其进展的内在能力,主要通过局部炎症细胞来实现。本文讨论了几部关于伤口外科和愈合的历史著作、局部伤口治疗、最小干预,并强调了慢性伤口的闭合。