University of Ottawa, Ottawa, Canada.
J Cutan Med Surg. 2013 Jan-Feb;17(1):62-5. doi: 10.2310/7750.2012.11149.
A punch biopsy is a common therapeutic and diagnostic procedure that is routinely performed by dermatologists. A thin cylinder of tissue is removed with a biopsy punch, which creates a full-thickness wound. Sutures are used for primary closure as part of standard practice and are removed in follow-up 5 to 14 days later. The biopsy site heals with a small linear scar. In the past, punch biopsies were often left to heal by secondary intention, but given the extended healing time, this has fallen out of practice among dermatologists.
The purpose of this case report is to introduce a new quick and cost-effective approach to accelerate secondary intention healing following punch biopsies in busy dermatology clinics.
RESULTS/CONCLUSION: We present a case where Dynaclose tape (Canica Design Inc, Almonte, ON) was used as an alternative to sutures for biopsy site closure. Dynaclose tape is a strip with adhesive ends and a clear center composed of silicone elastomer. The silicone elastomer promotes wound closure by pulling the opposing margins together. The tape maintains excellent adhesion and follows the natural shape of the skin to maximize patient comfort and mobility.
打孔活检是皮肤科医生常规进行的一种常见的治疗和诊断程序。使用活检打孔器切除组织的薄圆柱体,从而形成全层伤口。缝线用于一期闭合,这是标准操作的一部分,并在后续的 5 到 14 天后去除。活检部位通过小的线性瘢痕愈合。过去,打孔活检通常通过二期愈合来治疗,但鉴于愈合时间延长,这种方法已不再为皮肤科医生所采用。
本病例报告的目的是介绍一种新的快速且具有成本效益的方法,以加速繁忙皮肤科诊所中打孔活检后的二期愈合。
结果/结论:我们介绍了一种使用 Dynaclose 胶带(Canica Design Inc,Almonte,ON)替代缝线来闭合活检部位的案例。Dynaclose 胶带是一种带有粘性末端和透明中心的胶带,由硅酮弹性体组成。硅酮弹性体通过将相对的边缘拉在一起促进伤口闭合。该胶带保持良好的粘附性,并顺应皮肤的自然形状,以最大程度地提高患者的舒适度和活动能力。