Department of Dermatology, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Australas J Dermatol. 2011 Aug;52(3):209-11. doi: 10.1111/j.1440-0960.2011.00773.x. Epub 2011 May 31.
We report the Fixomull (BSN Medical, Hamburg, Germany) skin support technique for wound closure, a novel method for closing elliptical incisions in patients with fragile skin. After the lesion of concern is excised, a strip of Fixomull is applied to the skin adjacent to the wound edge with an approximately 2 mm gap between the Fixomull and the incision edge. The wound is then closed with interrupted sutures through the Fixomull, with care to ensure wound edge eversion. Fixomull provides extra tensile strength. The sutures are removed at approximately 14 days, and the patient given a prophylactic course of oral antibiotics only if at high risk of infection. This is a simple, time efficient, inexpensive and effective measure to avoid skin grafts and reduce skin tears and trauma in patients with thin, fragile skin. In our practice there have been no significant skin infections using this technique.
我们报告了 Fixomull（BSN Medical，汉堡，德国）皮肤支撑技术在伤口闭合中的应用，这是一种用于闭合脆弱皮肤患者椭圆形切口的新方法。在切除相关病灶后，将一条 Fixomull 贴敷于紧邻切口边缘的皮肤上，Fixomull 与切口边缘之间留有约 2 毫米的间隙。然后通过 Fixomull 间断缝合关闭伤口，注意确保切口边缘外翻。Fixomull 提供额外的拉伸强度。大约在 14 天后拆除缝线，如果患者有很高的感染风险，仅给予预防性口服抗生素。这是一种简单、高效、经济且有效的措施，可以避免在薄而脆弱的皮肤患者中进行皮肤移植，并减少皮肤撕裂和创伤。在我们的实践中，使用这种技术没有出现明显的皮肤感染。
