Picardi N
Cattedra di Chirurgia Generale, Facoltà di Medicina e Chirurgia, Università degli Studi G. D'Annunzio di Chieti.
Ann Ital Chir. 1993 Jan-Feb;64(1):67-74.
The paper refers to an experience of skin reconstruction of a widely damaged lower limb as result of a hot water burn injury in a young girl. Evidence is given to adopted reconstruction times, and to the decision not to recur to flap transposition by skin innests, but to the tissue expansion technique, also to avoid new aesthetic damages. The peculiarity of the experience is in the employment of a multiple number of tissues expander, to meet characteristic problems of the limbs related to this reconstructive technique, particularly in presence of heavy burn scars. It is also widely illustrated the operatory phases and times which are necessary to obtain an optimal functional result, with very satisfying aesthetic final appearance.
该论文讲述了一名年轻女孩因热水烧伤导致下肢广泛受损后进行皮肤重建的经历。文中给出了采用的重建时间，以及不采用皮内植皮进行皮瓣转移，而是采用组织扩张技术的决定，也是为了避免新的美学损伤。该经历的独特之处在于使用了多个组织扩张器，以解决与这种重建技术相关的肢体特征性问题，特别是在存在严重烧伤瘢痕的情况下。文中还广泛阐述了为获得最佳功能结果所需的手术阶段和时间，最终的美学外观非常令人满意。
