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埋藏式垂直褥式縫合 (The buried vertical mattress suture)

埋藏式垂直褥式縫合 (The buried vertical mattress suture)

此技術是皮膚科醫師與整形外科醫師廣泛採用的常見入路 (Figs. 13-1 through 13-3)。2

圖 13-1:針自真皮 (dermis) 的下表面穿入,在真皮內向上且向外移動,再返回於切開的傷口邊緣 (incised wound edge) 穿出。

Figure 13-1. The needle is inserted through the underside of the dermis and moves upwards and outwards in the dermis before returning to exit at the incised wound edge.

圖 13-2:接著針自切開的傷口邊緣穿入,向上且向外遠離傷口邊緣移動,並於較深的真皮 (deeper dermis) 處穿出。

Figure 13-2. The needle is then inserted through the incised wound edge before moving upwards and outwards away from the wound edge and exiting in the deeper dermis.

圖 13-3:埋藏式垂直褥式縫合 (buried vertical mattress suture) 的側視圖,突顯縫線材料穿過真皮所走的心形路徑 (heart-shaped path)。

Figure 13-3. Lateral view of the buried vertical mattress suture highlighting the heart-shaped path the suture material takes through the dermis.