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皮肤移植技术中供区并发症及瘢痕结局评估的综合综述

A Comprehensive Review of Evaluating Donor Site Morbidity and Scar Outcomes in Skin Transfer Techniques.

作者信息

Manek Yogesh B, Jajoo Suhas, Mahakalkar Chandrashekhar

机构信息

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2024 Feb 1;16(2):e53433. doi: 10.7759/cureus.53433. eCollection 2024 Feb.

Abstract

This comprehensive review delves into the intricacies of donor site morbidity and scar outcomes in skin transfer techniques central to the field of reconstructive surgery. The review synthesizes existing literature to illuminate the multifaceted factors influencing outcomes by surveying a broad spectrum of grafting methods, from traditional autografts to cutting-edge tissue engineering approaches. Key findings underscore the complex interplay of graft characteristics, surgical techniques, and patient-specific variables. The implications for clinical practice advocate for a nuanced, patient-centered approach, incorporating emerging minimally invasive procedures and adjuvant therapies. The review concludes with recommendations for future research, emphasizing the importance of longitudinal studies, comparative analyses, patient-reported outcomes, advanced imaging techniques, and exploration of tissue engineering innovations. This synthesis advances our understanding of donor site morbidity and scar outcomes. It provides a roadmap for refining clinical protocols, ultimately enhancing the delicate balance between therapeutic efficacy and patient well-being in reconstructive surgery.

摘要

这篇综述深入探讨了重建外科领域核心皮肤移植技术中供区并发症和瘢痕结局的复杂性。该综述综合现有文献,通过审视从传统自体移植到前沿组织工程方法等广泛的移植方法,阐明影响结局的多方面因素。主要发现强调了移植特征、手术技术和患者特定变量之间的复杂相互作用。对临床实践的启示倡导采用细致入微、以患者为中心的方法,纳入新兴的微创手术和辅助治疗。综述最后提出了未来研究的建议,强调纵向研究、比较分析、患者报告结局、先进成像技术以及组织工程创新探索的重要性。这一综述增进了我们对供区并发症和瘢痕结局的理解。它为完善临床方案提供了路线图,最终在重建外科中提高治疗效果与患者福祉之间的微妙平衡。

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本文引用的文献

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Fasciocutaneous Free Tissue Transfer in Limb Salvage: Prior Flap as a Split-thickness Skin Graft Donor Site.
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Objective Comparison of Donor-Site Morbidity following Full and Thoracodorsal Nerve-Preserving Split Latissimus Dorsi Flaps.
Plast Reconstr Surg. 2022 May 1;149(5):966e-971e. doi: 10.1097/PRS.0000000000009022. Epub 2022 Mar 18.
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