Roblee Cole V, Mankowski Peter, Marquette Lauren, Gast Katherine M, Kuzon William M
From the Section of Plastic Surgery, University of Michigan, Ann Arbor, Mich.
Rosalind Franklin University of Medicine and Science, North Chicago, Ill.
Plast Reconstr Surg Glob Open. 2024 Aug 1;12(8):e6020. doi: 10.1097/GOX.0000000000006020. eCollection 2024 Aug.
Skin grafting is a fundamental tool in plastic surgery for the resurfacing of wounds resulting from burns, necrotizing infections, trauma, oncologic resections, donor site defects, and other causes. Compared with split-thickness skin grafts, full-thickness skin grafts (FTSGs) undergo less secondary contracture and often result in better aesthetic outcomes. To assure graft take, FTSGs require thorough defatting and adequate contact between the graft and the underlying wound bed. Conventionally, during the defatting process, FTSGs are stabilized on the surgeon's fingers, whereas curved scissors are used to remove the subcutaneous tissue. This approach is effective for small grafts, but for large FTSGs, it is time-consuming and ergonomically challenging.
皮肤移植是整形外科中用于修复因烧伤、坏死性感染、创伤、肿瘤切除、供区缺损及其他原因导致的创面的一项基本技术。与断层皮片移植相比，全厚皮片移植（FTSGs）的二期挛缩较少，且通常能产生更好的美学效果。为确保移植皮片成活，FTSGs需要彻底去脂，并且移植皮片与下方创面床之间要有充分接触。传统上，在去脂过程中，FTSGs固定在外科医生手指上，同时使用弯剪刀去除皮下组织。这种方法对小面积移植皮片有效，但对于大面积FTSGs来说，既耗时又存在人体工程学挑战。
