Martinot V, Patenotre P, Auffret P, Pellerin P
Service de Chirurgie Plastique et Reconstructrice, Hôpital R. Salengro, CHRU, Lille.
Ann Chir Plast Esthet. 1996 Oct;41(5):573-6.
Presuture is a rapid skin expansion technique performed in a 2-stage operation. On the day before the operation, a square of skin sutures is inserted along the lesion to be invaginated, under local anaesthesia. Resection with direct suture can be performed on the following day. Twelve patients presenting with extensive (3 x 3 cm to 7 x 24 cm) lesions of the lower limbs (3 congenital naevi, 7 melanomas, 2 areas of scar tissue) were treated. The scar results were excellent in 2 cases, inter-mediate in 8 cases and poor in 2 cases. The limits of this technique are the risk of malunion due to ischaemia and especially secondary enlargement of the scar.
预缝合是一种在两阶段手术中进行的快速皮肤扩张技术。手术前一天，在局部麻醉下，沿着要内陷的病变部位插入一块方形皮肤缝线。次日可进行直接缝合切除。对12例下肢出现广泛病变（3×3厘米至7×24厘米）的患者进行了治疗，其中包括3例先天性痣、7例黑色素瘤和2例瘢痕组织区域。瘢痕结果为2例优秀，8例中等，2例较差。该技术的局限性在于存在因缺血导致愈合不良的风险，尤其是瘢痕的继发性增大。
