Coupland R M
Ann R Coll Surg Engl. 1986 Jan;68(1):2-4.
Apposition of skin edges in plastic surgical procedures can be achieved by sutures or stainless steel staples. This retrospective study reviews 45 skin falp operations and finds that 20.6% of sutured flaps are complicated by partial necrosis or slow healing. These complications occur in 62.5% of stapled flaps. It is proposed that crimping of the skin edges by the staples results in tension across the flap. This mechanism is demonstrated on cadaver skin. The efficacy of staples in closure of surgical incisions is recognised, but this study does not favour their use on skin flaps.
在整形外科手术中，皮肤边缘的对合可通过缝合或不锈钢吻合钉来实现。这项回顾性研究对45例皮瓣手术进行了回顾，发现20.6%的缝合皮瓣出现了部分坏死或愈合缓慢的并发症。这些并发症在62.5%的吻合钉固定皮瓣中出现。有人提出，吻合钉对皮肤边缘的挤压会导致皮瓣上产生张力。这一机制在尸体皮肤上得到了证实。吻合钉在手术切口闭合中的有效性是得到认可的，但这项研究不支持在皮瓣上使用吻合钉。
