Yang Tian, Tan Zhixiang, Chen Xuejie, Wang Fang, Tao Rui, Tong Yilan, Wang Xiaoli, Fan Huajun, Yu Mosheng, Zhu Zhanyong
From the Department of Plastic Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Plast Reconstr Surg Glob Open. 2024 Dec 20;12(12):e6405. doi: 10.1097/GOX.0000000000006405. eCollection 2024 Dec.
The repair of skin defect wounds is a long-term goal of clinical pursuit. Currently, free or pedicled skin flap transplantation is commonly used to repair skin defects. However, these methods may lead to complications such as flap necrosis, thrombosis, scarring, diminished sensation, and pigmentation in both the donor and recipient areas. Since its introduction in 1976, skin stretching techniques were widely used for minor skin and soft-tissue defects in the surgical field.
A narrative review was conducted to identify relevant articles about the skin stretching techniques for promoting wound healing. We searched the Web of Science and PubMed databases for all articles containing different combinations of "skin stretch techniques" and "wound repair," "skin defects," and "tissue expansion."
Through the screening of 500 articles, 84 representative and persuasive articles were selected in this review. These studies collectively demonstrate the technique's effectiveness in reducing wound size, facilitating primary closure, and improving cosmetic outcomes. Reported complications were generally minor, including transient erythema and mild discomfort, with rare instances of skin necrosis.
Skin stretch techniques emerge as a promising approach for managing large-area wounds, offering the advantage of achieving primary healing without compromising surrounding healthy tissue. However, to optimize its clinical application, further research is warranted, particularly in addressing challenges related to precise stretching and infection management.
皮肤缺损创面的修复是临床长期追求的目标。目前，游离或带蒂皮瓣移植是修复皮肤缺损常用的方法。然而，这些方法可能会导致供区和受区出现皮瓣坏死、血栓形成、瘢痕形成、感觉减退和色素沉着等并发症。自1976年引入以来，皮肤拉伸技术在外科领域被广泛用于治疗较小的皮肤和软组织缺损。
进行了一项叙述性综述，以确定有关促进伤口愈合的皮肤拉伸技术的相关文章。我们在科学网和PubMed数据库中搜索了所有包含“皮肤拉伸技术”与“伤口修复”、“皮肤缺损”和“组织扩张”不同组合的文章。
通过对500篇文章的筛选，本综述选取了84篇具有代表性和说服力的文章。这些研究共同证明了该技术在减小伤口大小、促进一期缝合和改善美容效果方面的有效性。报道的并发症一般较轻，包括短暂性红斑和轻度不适，皮肤坏死的情况罕见。
皮肤拉伸技术是一种治疗大面积伤口的有前景的方法，具有在不损害周围健康组织的情况下实现一期愈合的优势。然而，为了优化其临床应用，有必要进行进一步研究，特别是在解决与精确拉伸和感染管理相关的挑战方面。
