Künzig M, Tritsch H
Hautarzt. 1977 Mar;28(3):132-5.
The advantages of full thickness free skin grafting (Wolfe graft) from the hypogastricum are described in ten cases. The method is suitable for covering fresh skin defects--dermis and subcutaneous tissue--which results in dermato-tumorsurgery in extremities and skull region. The hypogastricum was taken as donor area because the wound edges can be closed in order to produce the least conspicuous scar. Large free skin grafts can be taken. The dermis is thin and promotes a good wound healing. For the take of the Wolfe graft the carfull removing of all visible fat on its under-surface is essential. The tendency of the graft to take is judged by morphological criteria and subdivided in five degrees. Most important for the final form of the skin graft is the local treatment.
本文描述了10例取自下腹的全厚皮片游离移植(沃尔夫皮片)的优点。该方法适用于覆盖新鲜的皮肤缺损——真皮和皮下组织,用于四肢和颅骨区域的皮肤肿瘤手术。选择下腹作为供区是因为伤口边缘可以闭合,从而产生最不明显的疤痕。可以获取较大的游离皮片。此处真皮较薄,有利于伤口良好愈合。对于沃尔夫皮片的获取,必须仔细去除其下表面所有可见的脂肪。根据形态学标准判断皮片的存活倾向,并分为五个等级。对于皮片的最终形态,局部治疗最为重要。