Williams Zoë J, Pezzanite Lynn M, Hendrickson Dean A
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, 300 West Drake Road, Fort Collins, Colorado 80523, USA.
Equine Vet Educ. 2024 Sep;36(9):484-493. doi: 10.1111/eve.13964. Epub 2024 Feb 28.
Skin grafting is a simple technique that can be performed by equine practitioners to improve cosmetic outcomes in wounds with large skin defects that would not heal functionally or cosmetically with standard wound therapy interventions. Successful skin grafting is not difficult but relies upon appropriate preparation of the wound bed and effective immobilisation of the grafted area after skin graft placement. Prior to grafting, the wound bed should be treated with a moist wound healing dressing to prepare the granulation tissue bed to receive the graft. For best results, skin grafts should be placed in wounds free of infection with healthy granulation tissue, and motion should be reduced in the graft region in the early postoperative period. When successful, skin grafts cover granulation tissue and encourage wound contraction and epithelialisation while decreasing exuberant granulation tissue resulting in a more cosmetic result. This review will advance practitioners' understanding of skin grafting in horses, including graft classification and techniques, donor site selection, recipient site preparation, postoperative management strategies to optimise graft retention and ongoing research in this field.
皮肤移植是一种简单的技术，马医可以实施该技术，以改善大面积皮肤缺损伤口的美容效果，这些伤口采用标准伤口治疗干预措施无法实现功能或美容愈合。成功的皮肤移植并不困难，但依赖于对伤口床的适当准备以及皮肤移植后对移植区域的有效固定。在移植前，伤口床应使用湿性伤口愈合敷料进行处理，以准备肉芽组织床来接受移植。为获得最佳效果，皮肤移植应放置在无感染且有健康肉芽组织的伤口中，术后早期应减少移植区域的活动。成功时，皮肤移植覆盖肉芽组织，促进伤口收缩和上皮化，同时减少过度增生的肉芽组织，从而获得更美观的效果。本综述将增进从业者对马皮肤移植的理解，包括移植分类和技术、供体部位选择、受体部位准备、优化移植保留的术后管理策略以及该领域的 ongoing research。 （注：“ongoing research”直译为“正在进行的研究”，这里保留英文未翻译，因为不清楚具体所指内容，若有上下文可进一步准确翻译）
