THE SELECTION OF APPROPRIATE LINES FOR ELECTIVE SURGICAL INCISIONS
THE SELECTION OF APPROPRIATE LINES FOR ELECTIVE SURGICAL INCISIONS
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选择合适的选择性手术切口线
DOI：
10.1097/00006534-195107000-00001
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发表时间：
1951
影响因子：
3.6
通讯作者：
C. Kraissl
中科院分区：
文献类型：
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作者：
C. Kraissl
1935年，韦伯斯特（15）综述了产生畸形疤痕的各种因素。复制Langer线并与Kocher切口线模式进行比较。韦伯斯特不同意Kocher的垂直切口穿过关节和中线切口是最佳的。他观察到与右直肌切口相比，肋下斜切口的伤口愈合更好。他说：“在最有利的方向上做切口的最简单的规则是遵循自然的皱纹线。这些通常可以在面部、颈部、手腕、腋窝、腹股沟或膝盖后部识别出来。”Conway（16）在1938年观察到腹部瘢痕下部的扩大，并得出结论，皮肤张力线比Langer模式更横向。他做了一个重要的观察，即活体表面不同区域的生理弹性可能不同于尸体上皮肤张力线所显示的。
In 1935 Webster (15) reviewed the various factors which produced deforming scars. Langer's lines were reproduced and compared with Kocher's incision line pattern. Webster disagreed with Kocher vertical incisions across joints and his midline incision as being optimum. He observed the better wound healing in the oblique subcostal incision as compared with the right rectus incision. He states “The simplest rule for making incisions in the most favorable direction is to follow the natural wrinkle lines. These are usually recognizable on the face, the neck, at the wrist, the axilla, the groin or the back of the knee.” Conway (16) in 1938 observed the widening of the lower part of abdominal scars and concluded that the lines of skin tension ran more transversely than Langer's pattern. He made the important observation that the physiologic elasticity of various surface regions may be different in the living subject than indicated by the lines of skin tension on cadavers.