plasurВопросы реконструктивной и пластической хирургииIssues of Reconstructive and Plastic Surgery1814-1471АНО "НИИ микрохирургии"10.52581/1814-1471/97/04plasur-501Research ArticleПЛАСТИЧЕСКАЯ ХИРУРГИЯPLASTIC SURGERYАльтернативные способы свободной кожной пластики (состояние вопроса)Alternative methods of free skin graft (state of the issue)https://orcid.org/0000-0003-0509-5988ПавленкоИ. В.PavlenkoI. V.

Павленко Илья Викторович, канд. мед. наук, научн. консультант взрослого ожогового отделения университетской клиники,

603000, Нижний Новгород, пл. Минина и Пожарского, д. 10/1.

Ilya V. Pavlenko, Cand. Med. Sci., Scientific Consultant, the Adult Burn Unit of the University Hospital,

10/1, Minin and Pozharsky Sq., Nizhny Novgorod, 603000.

ilyapavlenko@bk.ruПриволжский исследовательский медицинский университетРоссияPrivolzhsky Research Medical UniversityRussian Federation2026110820262923647Copyright © Павленко И.В., 20262026Павленко И.В.Pavlenko I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://plasur.elpub.ru/jour/article/view/501

Представлен анализ современных альтернативных методик свободной кожной пластики. Описаны новые подходы при выполнении традиционной свободной кожной пластики, фрагментарной трансплантации кожи, а также пересадки эпидермального и дермального компонентов кожи. Рассмотрены исторические аспекты, технические особенности, преимущества и ограничения различных методик. Представлены краткосрочные и отдаленные результаты лечения различными способами. Особое внимание уделено механизмам заживления реципиентной раны, осложнениям в донорской области и клиническим показаниям для каждого метода. Отдельно описаны технологические инновации и специальные способы забора кожи для возможности их самостоятельного поиска в оригинальных литературных источниках и более углубленного изучения. Обзор подготовлен на основе анализа современных научных публикаций с целью демонстрации перспективности дальнейшего совершенствования методов свободной кожной пластики в хирургии раневых дефектов.

Аn analysis of modern alternative free skin grafting techniques has been presented. New approaches to traditional free skin grafting, fragmentary skin grafting, and epidermal and dermal skin grafting are described. The historical aspects, technical features, advantages, and limitations of various methods are reviewed. Shortand long-term treatment results using various methods are presented. Particular attention was paid to recipient wound healing mechanisms, donor-site complications, and clinical indications for each method. Technological innovations and specialized skin harvesting devices are described separately, allowing for independent research in original literature and more in-depth study. The review was prepared based on an analysis of current scientific publications with the aim of demonstrating the prospects for further improvement of free skin grafting methods in wound defect surgery.

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The authors declare that there are no conflicts of interest present.