MICROSKIN AUTOGRAFT WITH PIGSKIN XENOGRAFT OVERLAY - A PRELIMINARY-REPORT OF STUDIES ON PATIENTS

被引:17
作者
LIN, SD
LAI, CS
CHOU, CK
TSAI, CW
WU, KF
CHANG, CW
机构
[1] Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical College, Kaohsiung
关键词
D O I
10.1016/0305-4179(92)90155-N
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Split-thickness pigskin graft (STPSG) was used to replace allograft skin for microskin grafting in 16 patients, nine of whom were burn patients, five suffered from traumatic defects and two from diabetic ulcers. The expansion ratios used in these patients ranged from 8:1 to 12:1. The STPSG preparation described was found to be safe for clinical application. The autogenous donor skin was excised from the inguinal area, and the donor site was primarily closed. There were no instances of donor site morbidity. The majority of the STPSG overlays adhered to the wound firmly. Histological examination showed that the microskin grafts proliferated actively immediately beneath the STPSG overlay. The time for the wound to be fully resurfaced varied from 13 to 21 days depending on the expansion ratio employed. There were only two episodes of pseudomonas infection and no further grafting was required in any of the patients. In this study the pigskin xenograft was found to provide a suitable environment for the epithelialization of microskin autografts. When allograft is not available, this is an alternative way of ensuring successful microskin grafting,
引用
收藏
页码:321 / 325
页数:5
相关论文
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