Müller R P, Petres J
Fortschr Med. 1982 Oct 28;100(40):1851-60.
A historical survey precedes a discussion about the possibilities and limitations of free skin grafting. Although full thickness skin grafts are more resistant than split-thickness grafts, these are less demanding to the recipient site. In severe surgical defect wounds the wound bed should be conditioned using synthetic skin substitute Epigard prior to final wound closure. By using this temporary synthetic skin substitute the development of granulation tissue is being controlled. In an effort to optimize the adaptation of the graft on the wound surface, a technique of our own is being introduced. If the bordering granulation tissue at the wound edge is beveled by means of a high-speed milling cutter at an angle of 30 degrees, an equal-levelled adaptation is achieved.
在讨论游离皮肤移植的可能性和局限性之前，先进行一次历史回顾。尽管全厚皮片比中厚皮片更具抵抗力，但对受区的要求较低。在严重的手术缺损伤口中，在最终伤口闭合前，应使用人工皮肤替代品Epigard对伤口床进行预处理。通过使用这种临时人工皮肤替代品，可以控制肉芽组织的生长。为了优化移植物在伤口表面的贴合度，我们引入了一种自己的技术。如果用高速铣刀将伤口边缘相邻的肉芽组织切成30度的斜面，就能实现平整的贴合。
