疤痕:整形外科的新观点

G. Prezzavento
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引用次数: 0

摘要

近年来,随着“难以察觉的疤痕”概念的出现,实现美观的手术疤痕的问题日益突出,这不仅是整容手术,也是重建手术的患者所期望的。目前重建手术的研究重点是在最少的步骤中获得高质量的结果,以期“第一次就做对”。然而,没有统一的方法来治疗疤痕,这部分是由于缺乏共识关于最有效的愈合方法。本章旨在通过提出两种不同的程序,分别通过使用活性成分的局部治疗和将尸体皮肤和人造皮肤作为真皮替代品来增强美容和重建手术中的疤痕结果,从而为讨论提供新的亮点。这些治疗的有效性通过在布宜诺斯艾利斯Alemán医院进行的研究和术后随访所收集的客观、可量化的数据来证明。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Scars: A New Point of View in Plastic Surgery
The issue of achieving esthetically pleasing surgical scars has gained prominence in recent years, with the emergence of the concept of the “imperceptible scar,” which is expected by patients of not only cosmetic but also reconstructive surgery. Current research in reconstructive surgery focuses on obtaining high-quality results in the minimum number of steps, with a view to “doing it right the first time.” However, there is no uniform approach to scar treatment, which is partly due to a lack of consensus regarding the most effective healing methods. This chapter aims at shedding new light to discussion by putting forward two different procedures that enhance scar results in cosmetic and reconstructive surgeries by applying a topical treatment with active ingredients and by combining cadaver and artificial skin as dermal substitutes, respectively. The effectiveness of these treatments is shown by means of objective, quantifiable data collected as a result of studies and postoperative follow-ups carried out at Hospital Alemán in Buenos Aires.
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