采用基质水平褥式缝合减少皮瓣供区面积
Flap donor site size reduction with substratum horizontal mattress suture.
作者信息
Jalilimanesh Mohammad
机构信息
Department of Plastic and Reconstructive Surgery, Trauma and Burn Hospital, Yazd, Iran.
出版信息
World J Plast Surg. 2013 Jan;2(1):14-7.
BACKGROUND
Closure of donor site of the flap has special problems. Reduction of this site will decrease the morbidity of operation. In this study, we present our experience in donor site size reduction.
METHODS
Between 2006 and 2008, 15 patients with skin and soft tissue defects underwent operation. In all patients, coverage of defect was performed with various flaps. Substratum horizontal mattress suture was used to reduce donor site dimensions. In all 15 patients, size of the flaps, the defect after the flap elevation and the scar size were measured.
RESULTS
The mean size of the flap, the defect after flap elevation, and the scar after 3 months were 43.9 cm(2), 69.4 cm(2), and 32.2 cm(2), respectively. There was 46.5% reduction in the donor site after using this suture.
CONCLUSION
The substratum horizontal mattress suture was shown to de- crease the donor site dimensions and also its scar size in flap surgery. This suture is highly recommend in order to reduce donor site dimensions.
背景
皮瓣供区的闭合存在特殊问题。减小该供区面积将降低手术的发病率。在本研究中，我们展示了我们在减小供区面积方面的经验。
方法
2006年至2008年间，15例皮肤和软组织缺损患者接受了手术。所有患者均采用不同的皮瓣覆盖缺损。采用深层水平褥式缝合来减小供区尺寸。对所有15例患者测量皮瓣大小、皮瓣掀起后的缺损及瘢痕大小。
结果
皮瓣平均大小、皮瓣掀起后的缺损及3个月后的瘢痕分别为43.9平方厘米、69.4平方厘米和32.2平方厘米。使用这种缝合方法后，供区面积减小了46.5%。
结论
在皮瓣手术中，深层水平褥式缝合显示可减小供区尺寸及其瘢痕大小。为减小供区尺寸，强烈推荐使用这种缝合方法。
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