Department of Dermatology, Eberhard Karls University, Liebermeisterstr. 25, 72076 Tübingen, Germany.
Br J Dermatol. 2011 Sep;165(3):581-4. doi: 10.1111/j.1365-2133.2011.10431.x. Epub 2011 Jul 28.
Large nonhealing ulcers and wounds frequently pose a great therapeutic challenge to clinicians and often require skin grafting. Various skin grafting methods are available to cover large skin defects that fail to epithelize. These methods include the use of small pinch grafts, full-thickness punch grafts, large-sized full-thickness grafts and split-thickness grafts. Large-sized full-thickness and split-thickness skin grafting requires expertise to produce cosmetically acceptable results and prevent cobblestoning, unlike small pinch and full-thickness punch grafts.
To describe a modified technique of split-thickness skin grafting that can be considerably faster than alternative methods.
We describe a method for split-thickness skin grafting using tumescent anaesthesia at the donor site and an electrodermatome and a polyurethane membrane without sutures at the site of the skin defect.
Since 1997, we have practised a modified, improved, quick and easy split-thickness skin grafting method to cover large skin defects at the extremities. Complete healing is usually achieved 4-6 weeks after the split-thickness skin transplantation, and long-term results are aesthetically successful.
We provide a sophisticated modified split-thickness skin graft procedure that has been practised for many years and provides cosmetically acceptable results while saving time.
大面积不愈合的溃疡和伤口常常给临床医生带来巨大的治疗挑战，往往需要植皮。有各种植皮方法可用于覆盖未能上皮化的大面积皮肤缺损。这些方法包括使用小皮片移植、全厚打孔移植、大尺寸全厚移植和断层皮片移植。与小皮片和全厚打孔移植不同，大面积全厚和断层皮片移植需要专业技术才能获得美容效果并防止鹅卵石样外观。
描述一种改良的断层皮片移植技术，该技术比其他方法更快。
我们描述了一种在供皮区使用肿胀麻醉、电切取皮机和聚氨酯膜，而在皮肤缺损处不缝合的断层皮片移植方法。
自 1997 年以来，我们一直在实践一种改良的、改进的、快速而简单的断层皮片移植方法，用于覆盖四肢的大面积皮肤缺损。通常在断层皮片移植后 4-6 周即可完全愈合，长期效果美观成功。
我们提供了一种经过多年实践的复杂改良断层皮片移植程序，该程序在节省时间的同时提供了美容效果。
