The mons pubis: An excellent graft donor site in gynecologic surgery

Split-thickness skin grafting has many applications in gynecologic surgery. Selection of the donor site is an aspect of the procedure that is very important for preventing highly visible lifelong scars. In this regard the mons pubis is an excellent choice as a donor site. Scar visibility is minimized by regrowth of the pubic hair. Another advantage is the anterior location of the mons, which allows for healing without constant pressure in patients who must remain supine in the postoperative period. Graft harvesting requires shaving the mons pubis and injecting saline solution into the subcutaneous tissue to elevate the skin and thus provide a firm flat base for dermatome application. Hair growth does not occur in the recipient site because the hair follicles are not harvested. Healing of both donor and recipient sites has been excellent with minimal discomfort during pubic hair regrowth. Thus it is recommended that the mons pubis be given serious consideration as a graft donor site in gynecologic surgery.

中厚皮片移植在妇科手术中有许多应用。供皮区的选择是该手术过程中一个非常重要的方面，对于预防明显的终身性瘢痕至关重要。在这方面，阴阜是作为供皮区的一个绝佳选择。阴毛的重新生长可使瘢痕的可见度降至最低。另一个优点是阴阜位于前方，对于术后必须保持仰卧位的患者，这有利于伤口愈合且不会受到持续的压力。取皮时需要剃除阴阜的毛发，并向皮下组织注射生理盐水以使皮肤隆起，从而为使用取皮刀提供一个坚实平坦的基础。受皮区不会有毛发生长，因为没有采集毛囊。供皮区和受皮区的愈合情况都非常好，在阴毛重新生长过程中不适感也极小。因此，建议在妇科手术中认真考虑将阴阜作为皮片供皮区。