背景:慢性腿部溃疡仍然是治疗医师面临的挑战。这种伤口通常需要皮肤移植才能愈合。这就需要一个现成的,快,简单,和标准化的嫁接程序。
目的:这项工作的目的是测试一种为门诊移植程序开发的新方法。
方法:该程序采用了手持式一次性皮肤刀和滚筒式粉碎机,将皮肤切成标准化的微型移植物,可以将其铺展到合适的移植床上。跟踪伤口直到愈合并拍照。
结果:该装置已成功用于治疗和闭合创伤性下肢伤口和持续性慢性静脉性腿部溃疡。供体部位本身通过次要意图愈合,具有最小的美容损害。
结论:该方法成功移植了2个下肢伤口。
BACKGROUND: Chronic leg ulcers remain a challenge to the treating physician. Such wounds often need skin grafts to heal. This necessitates a readily available, fast, simple, and standardized procedure for grafting.
OBJECTIVE: The aim of this work was to test a novel method developed for outpatient transplant procedures.
METHODS: The procedure employs a handheld disposable dermatome and a roller mincer that cut the skin into standardized micrografts that can be spread out onto a suitable graft bed. Wounds were followed until healed and photographed.
RESULTS: The device was successfully used to treat and close a traumatic lower limb wound and a persistent chronic venous leg ulcer. The donor site itself healed by secondary intent with minimal cosmetic impairment.
CONCLUSIONS: The method was successfully used to graft 2 lower extremity wounds.