2014
DOI: 10.1097/gox.0000000000000227
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The Pinking Shears

Abstract: Summary:A significant aesthetic disadvantage to split skin grafts is the obvious transition between the graft and the normal skin. We report on a novel method to interrupt this transition point by using pinking shears, which are dressmaking scissors with saw-toothed blades that create a chevron pattern instead of a straight edge. We describe a case where the pinking shears were utilized on a split skin graft and Integra for reconstruction of the skin on a volar forearm. This technique allows for breaking-up of… Show more

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Cited by 3 publications
(1 citation statement)
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“…To date, tissue-engineered scaffolds have been widely used to regenerate damaged tissues and organs owing to their diverse advantageous features such as [1] biocompatibility, to prevent rejection response after implants [2]; an appropriate surface chemistry to enhance cell attachment and proliferation [3]; an interconnected pore structure to allow cell infiltration into the vessel [4]; sufficient biodegradability to allow the formation of new tissue; and [5] suitable mechanical properties to maintain the structure [18][19][20]. For example, skin scaffolds (termed as skin substitutes or artificial dermis) including INSUREGRAF ® (South Korea), Matriderm ® (Germany), Pelnac ® (UK), and Integra ® (USA) have been developed as skin wound dressings and applied clinically for eventual scar-free wound healing [21,22]. In particular, the recently developed artificial dermis INSUREGRAF ® is composed of collagen, which has multiple desirable characteristics such as biocompatibility, an interconnected pore structure, and sufficient biodegradability, and is consequently able to regenerate skin tissue as a onestage dermal substitute (OSDS) operation in patients with full-thickness (FT) skin defects [23].…”
Section: Introductionmentioning
confidence: 99%
“…To date, tissue-engineered scaffolds have been widely used to regenerate damaged tissues and organs owing to their diverse advantageous features such as [1] biocompatibility, to prevent rejection response after implants [2]; an appropriate surface chemistry to enhance cell attachment and proliferation [3]; an interconnected pore structure to allow cell infiltration into the vessel [4]; sufficient biodegradability to allow the formation of new tissue; and [5] suitable mechanical properties to maintain the structure [18][19][20]. For example, skin scaffolds (termed as skin substitutes or artificial dermis) including INSUREGRAF ® (South Korea), Matriderm ® (Germany), Pelnac ® (UK), and Integra ® (USA) have been developed as skin wound dressings and applied clinically for eventual scar-free wound healing [21,22]. In particular, the recently developed artificial dermis INSUREGRAF ® is composed of collagen, which has multiple desirable characteristics such as biocompatibility, an interconnected pore structure, and sufficient biodegradability, and is consequently able to regenerate skin tissue as a onestage dermal substitute (OSDS) operation in patients with full-thickness (FT) skin defects [23].…”
Section: Introductionmentioning
confidence: 99%