Schwartzman Gabrielle, Cartron Alexander M, Khachemoune Amor
School of Medicine and Health Sciences, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Department of Dermatology, University of Maryland, Baltimore, MD, USA.
Arch Dermatol Res. 2022 Jan;314(1):17-23. doi: 10.1007/s00403-021-02209-y. Epub 2021 Feb 20.
Mohs micrographic surgery (MMS) is used to remove cutaneous tumors in cosmetically sensitive anatomic areas. Surgeons can provide several reconstructive options to patients following tumor removal, including primary closure, skin grafts, local, regional or free flaps, and secondary intention healing (SIH). Notably, with the advancement of surgical and reconstructive techniques, the use of second intention healing has declined and may be underutilized. This review aims to critically evaluate the literature regarding indications, anatomical considerations, advantages, and complications of second intention wound healing following Mohs surgery. We also offer reappraisal of SIH following MMS to promote evidence-based postoperative care.
莫氏显微外科手术（MMS）用于切除美容敏感解剖区域的皮肤肿瘤。肿瘤切除后，外科医生可以为患者提供多种重建选择，包括一期缝合、皮肤移植、局部、区域或游离皮瓣以及二期愈合（SIH）。值得注意的是，随着手术和重建技术的进步，二期愈合的应用有所减少，可能未得到充分利用。本综述旨在严格评估关于莫氏手术后二期伤口愈合的适应症、解剖学考虑因素、优点和并发症的文献。我们还对MMS后的SIH进行重新评估，以促进循证术后护理。
