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对于大面积皮肤缺损的即刻一期闭合,最佳的循环周期是多少?

What are optimum cycles for immediate primary closure of large cutaneous defects?

机构信息

Department of Orthopaedics, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.

Department of Orthopaedics, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, People's Republic of China.

出版信息

Sci Prog. 2024 Jan-Mar;107(1):368504231223037. doi: 10.1177/00368504231223037.


DOI:10.1177/00368504231223037
PMID:38439712
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10916480/
Abstract

BACKGROUND: In the reconstruction of large complex cutaneous wounds, a myriad of mechanical devices has been designed to facilitate primary wound closure. However, there is a dearth of studies elucidating how best to achieve optimum use and efficiency of skin stretching (SS) when using the device for immediate primary closure of defects. METHODS: Skin defect wounds (7 × 7 cm) were prepared on the back of three Bama miniature pigs. A total of 15 cycles of SS (cycle loading) were subsequently performed on the skin edges of the wound by EASApprox® SS system. Then, the changes in equidistant points were recorded after each cycle. After the SS test, all wounds were sutured under low tension. RESULTS: Skin elongation was observed at all equidistant points on the back wounds of three Bama miniature pigs. Up to an additional 1.10 to 3.75 cm of tissue was garnered. The maximum skin elongation was typically achieved within eight cycles of stretching and relaxation. Beyond this range, additional stretching cycles did not result in further skin extension. CONCLUSION: There may be a close link between mobilization range and the times of acute cyclic stretching (cycle loading) during the process of primary wound closure. However, larger studies are required to further evaluate the accuracy and effectiveness.

摘要

背景:在重建大型复杂皮肤创面时,设计了无数的机械装置以促进一期伤口闭合。然而,对于使用该装置进行即时一期缺损闭合时,如何最佳地实现皮肤拉伸(SS)的最佳使用和效率,缺乏相关研究。

方法:在三头巴马小型猪的背部制备 7×7cm 的皮肤缺损创面。使用 EASApprox® SS 系统对创面皮肤边缘进行总共 15 个循环的 SS(循环加载)。然后,记录每个循环后的等距点的变化。SS 试验后,所有伤口均在低张力下缝合。

结果:在三头巴马小型猪的背部创面的所有等距点均观察到皮肤伸长。最多可获得 1.10 至 3.75cm 的组织。最大皮肤伸长通常在 8 个拉伸和放松循环内达到。超出此范围,进一步的拉伸循环不会导致进一步的皮肤延伸。

结论:在一期伤口闭合过程中,活动范围与急性循环拉伸(循环加载)的次数之间可能存在密切联系。然而,需要更大规模的研究来进一步评估其准确性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f8f/10916480/f7e1c34432be/10.1177_00368504231223037-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f8f/10916480/b798af7b8fba/10.1177_00368504231223037-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f8f/10916480/f7e1c34432be/10.1177_00368504231223037-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f8f/10916480/b798af7b8fba/10.1177_00368504231223037-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f8f/10916480/f7e1c34432be/10.1177_00368504231223037-fig2.jpg

相似文献

[1]
What are optimum cycles for immediate primary closure of large cutaneous defects?

Sci Prog. 2024

[2]
EASApprox skin-stretching system: A secure and effective method to achieve wound closure.

Exp Ther Med. 2017-7

[3]
Reverse-traction skin-stretching device for primary closure of large skin defects.

Arch Dermatol Res. 2023-5

[4]
Role of Preoperative Skin Stretching in Single-Stage Wound Closure.

Indian J Plast Surg. 2022-10-31

[5]
Stress-relaxation and tension relief system for immediate primary closure of large and huge soft tissue defects: an old-new concept: new concept for direct closure of large defects.

Medicine (Baltimore). 2014-12

[6]
A substitute for skin grafts, flaps, or internal tissue expanders in scalp defects following tumor ablative surgery.

J Drugs Dermatol. 2014-1

[7]
[Experimental study of the architecture of skin following tension traction and wound closure].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 1998-7

[8]
Automatic wound closure system: closure of large wounds by stretching the skin around the wound.

Updates Surg. 2024-10

[9]
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Plast Surg (Oakv). 2016

[10]
[Experimental Study of Using Aloe Vera Gel to Treat Diabetic Chronic Cutaneous Ulcers in Bama Miniature Pigs].

Sichuan Da Xue Xue Bao Yi Xue Ban. 2022-11

本文引用的文献

[1]
Reconstruction of High-Tension Scalp Defects by the Twizzler Technique: A Retrospective Case Series.

Dermatol Surg. 2023-9-1

[2]
Role of Preoperative Skin Stretching in Single-Stage Wound Closure.

Indian J Plast Surg. 2022-10-31

[3]
A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection.

World J Surg Oncol. 2020-9-17

[4]
Large-defect Resurfacing: A Comparison of Skin Graft Results Following Sarcoma Resection and Traumatic Injury Repair.

Wounds. 2019-7

[5]
Comparison of keystone flaps and skin grafts for oncologic reconstruction: A retrospective review.

J Surg Oncol. 2019-6

[6]
The use of a skin-stretching device combined with vacuum sealing drainage for closure of a large skin defect: a case report.

J Med Case Rep. 2018-9-3

[7]
EASApprox skin-stretching system: A secure and effective method to achieve wound closure.

Exp Ther Med. 2017-7

[8]
Evaluation of a new tension relief system for securing wound closure: A single-centre, Chinese cohort study.

Plast Surg (Oakv). 2016

[9]
Role of tissue expansion in abdominal wall reconstruction: A systematic evidence-based review.

J Plast Reconstr Aesthet Surg. 2017-6

[10]
Simple Skin-Stretching Device in Assisted Tension-Free Wound Closure.

Ann Plast Surg. 2017-3

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