Lam Thomas K, Lowe Christopher, Johnson Ryan, Marquart Jason D
*Department of Dermatology, Walter Reed National Military Medical Center, Bethesda, Maryland; †Center for Dermasurgery, Cooper University Hospital, Marlton, New Jersey.
Dermatol Surg. 2015 Oct;41 Suppl 10:S178-86. doi: 10.1097/DSS.0000000000000480.
Secondary intention healing and purse-string closures are simple but extremely useful methods for the dermatologic surgeon to master.
To review the literature on the use of these two types of closures and offer recommendations based on our collective experiences.
A literature review was performed using the terms "secondary intention healing" and "purse-string closure." The evidence and recommendations from the resultant references were summarized in our article and synthesized with our own experiences.
Twenty-eight sources were cited overall with fifteen related to secondary intention healing, eleven pertaining to purse-string closures, and one randomized, blind clinical trial comparing the two modalities.
The art of dermatologic surgery often requires a tailored approach to the patient and can involve a spectrum of closures, from the simplest to most complex. This variety not only provides more reconstruction options, but are also necessary to keep dermatologic surgery cost-effective. Certain locations or situations are more amenable for these two types of closures than others. The use of secondary intention healing, either alone or in conjunction with purse-string closures, should be in every dermatologic surgeon's armamentarium.
二期愈合和荷包缝合是皮肤科医生需要掌握的简单但极其有用的方法。
回顾关于这两种缝合方法应用的文献，并根据我们的集体经验提供建议。
使用术语“二期愈合”和“荷包缝合”进行文献综述。所得参考文献中的证据和建议在我们的文章中进行了总结，并与我们自己的经验相结合。
总共引用了28篇文献，其中15篇与二期愈合相关，11篇与荷包缝合相关，还有1篇比较这两种方式的随机、盲法临床试验。
皮肤科手术的技巧通常需要针对患者采取量身定制的方法，可能涉及一系列缝合方式，从最简单的到最复杂的。这种多样性不仅提供了更多的重建选择，对于保持皮肤科手术的成本效益也是必要的。某些部位或情况比其他部位更适合这两种缝合方式。二期愈合单独使用或与荷包缝合联合使用，都应成为每位皮肤科医生的技能储备。
