整形外科中的伤口闭合与重建阶梯
Wound closure and the reconstructive ladder in plastic surgery.
作者信息
Simman Richard
机构信息
Sycamore Wound Center at Sycamore Hospital, Miamisburg, OH, USA.
出版信息
J Am Col Certif Wound Spec. 2009 May 1;1(1):6-11. doi: 10.1016/j.jcws.2008.10.003. eCollection 2009 Jan.
Wound closure requires deep understanding of wound physiology, anatomy, and the healing phase of the wound. The basic principles of wound closure, diabetes control, normal nutrition status, infection control, mechanical stress avoidance, and nursing care are all important elements in achieving healing of acute and chronic wounds. This goal is achievable only through the interdisciplinary approach to wound healing. A number of wound closure techniques are available to the plastic surgeon. This armamentarium includes a variety of techniques, from simple primary wound closure to more-sophisticated and -costly flap reconstructive techniques. This article summarizes the components of the reconstructive ladder for wound closure that are available to the reconstructive surgeon.
伤口闭合需要深入了解伤口生理学、解剖学以及伤口的愈合阶段。伤口闭合的基本原则、糖尿病控制、正常营养状况、感染控制、避免机械性压力以及护理都是实现急慢性伤口愈合的重要因素。只有通过伤口愈合的多学科方法才能实现这一目标。整形外科医生有多种伤口闭合技术可供选择。这套工具包括从简单的一期伤口闭合到更复杂、成本更高的皮瓣重建技术等各种技术。本文总结了重建外科医生可用的伤口闭合重建阶梯的组成部分。
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