Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UK.
J Plast Reconstr Aesthet Surg. 2013 Aug;66(8):1142-4. doi: 10.1016/j.bjps.2012.12.009. Epub 2013 Jan 11.
Neonatal limb ischaemia (NLI) is a rare but potentially catastrophic condition. Although medical therapy remains as first-line treatment, surgery has an important role when limb-threatening events are present. In this paper we outline the milking technique for open thrombectomy used by the senior author in the treatment of 5 NLI cases. We also present the use of Integra and it's specific benefits in the management of wounds in these challenging situations. Skin grafts over the Integra can be avoided by staged excision of the silicone layer from the margins. We believe this is a novel approach to the use of Integra.
新生儿肢体缺血（NLI）是一种罕见但潜在灾难性的疾病。尽管药物治疗仍然是一线治疗方法，但当存在危及肢体的情况时，手术也具有重要作用。在本文中，我们概述了资深作者在治疗 5 例 NLI 病例时使用的开放式血栓切除术的挤奶技术。我们还介绍了 Integra 的使用及其在这些具有挑战性的情况下管理伤口的特定益处。通过从边缘逐步切除硅胶层，可以避免在 Integra 上植皮。我们认为这是 Integra 使用的一种新方法。
