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METHOD OF PLASTIC SURGERY BY FULL-THICKNESS SKIN AUTOGRAFT

机译:全厚度皮肤自体移植术的整形外科方法

摘要

FIELD: medicine.;SUBSTANCE: present invention relates to medicine, namely, to plastic surgery and combustiology. Method of plastic surgery with a full-thickness skin autograft after the 17–22th day after trauma by a single full-thickness free skin autograft on a granulating wound with preliminary excision of 1–2 mm of upper layers of granulation and wound margins by 0.5–2.0 cm In this case, in the first 1–3 days after the injury, a split skin autograft with a thickness of 0.25–0.3 mm and an area of 10sq.cm is produced. It is obtained from it the culture of dermal autoplastic graft to the third passage in a final concentration of 1.3 million cells per 1ml at a rate of not less than 25 thousand cells per 1sq.cm. of the machined surface. In this case, the obtained dermal autoplastic graft culture in 0.9% physiological solution is applied for 25-30 minutes before autoplasty by irrigation of the inner surface of a full-thickness skin autograft and a burn wound after excision of granulations.;EFFECT: method makes it possible to create conditions for the rapid engraftment and adaptation of a single full-thickness free skin autograft onto a granulating wound after its excision, to exclude the risk of transmission of bloodborne infection, reduce the risk of developing rough scar tissue in the long-term postoperative period.;1 cl, 6 dwg, 2 ex
机译:技术领域本发明涉及医学,即涉及整形外科和组合医学。在创伤后第17-22天进行全厚度皮肤自体移植的整形手术方法,方法是在肉芽伤口上单次全厚度自由皮肤自体移植,初步切除1-2毫米的肉芽上层和伤口边缘0.5 –2.0厘米在这种情况下,在受伤后的前1-3天,会产生厚度为0.25-0.3毫米,面积为10平方厘米的自体皮肤切开术。从中获得真皮自体移植物至第三代的培养物,最终浓度为每1ml 130万个细胞,且每1sq.cm不少于25,000个细胞。加工表面的在这种情况下,通过冲洗全厚度皮肤自体移植物的内表面和切去颗粒后的烧伤创面,在0.9%生理溶液中获得的真皮自体移植物培养物进行自体成形术之前25-30分钟。使得可以创造条件,将单个全厚度的自体皮肤快速切除,并在切除后将其适应于肉芽伤口上,从而排除了传播血源性感染的风险,长期减少了形成粗糙疤痕组织的风险术后期。; 1 cl,6 dwg,2 ex

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