Rubio P A
Department of Surgery, HCA Medical Center Hospital, Houston, Texas.
Int Surg. 1990 Jul-Sep;75(3):189-90.
Although, during the last half century, there has been plenty of evidence that the healing of skin wounds is hindered by suture closure and fostered by the use of surgical tapes, the latter technique has not been widely practiced, because the adhesiveness of surgical tapes has been deemed too unreliable. When used at all, tapes have generally been applied only over subcuticular and subcutaneous sutures. The author describes his experience in using a new transparent adhesive tape for primary wound closure of 37 surgical incisions without underlying sutures. The series involved a wide range of surgical wounds, in various portions of the body. In all cases, the results were excellent; neither major nor minor complications were observed. Compared with suture closure, this method was associated with a reduced potential for infection, faster renewal of tensile strength, greater cost effectiveness, and better cosmetic effects.
尽管在过去半个世纪里，有大量证据表明皮肤伤口的愈合会因缝合而受阻，而使用手术胶带则有助于愈合，但后一种技术尚未得到广泛应用，因为手术胶带的粘性被认为太不可靠。即使使用胶带，通常也只是用于皮下和皮下缝合处。作者描述了他使用一种新型透明胶带对37例无深层缝合的手术切口进行一期伤口闭合的经验。该系列涉及身体各个部位的各种手术伤口。在所有病例中，结果都非常好；未观察到重大或轻微并发症。与缝合闭合相比，这种方法感染可能性降低、抗张强度恢复更快、成本效益更高且美容效果更好。
