Integrated expanded flaps for the chest and trunk reconstruction in patients with post-burn total and subtotal scars
Journal Title: Хірургія України - Year 2018, Vol 0, Issue 4
Abstract
The aim — to improve the surgical treatment results in patients with post‑burn total and subtotal deformations of the chest and trunk with expanded flaps based on axial and perforating vessels. Materials and methods. The work is based on examinations of 16 patients (10 women and 6 men) with subtotal and total post‑burn deformities of the chest (8), abdominal wall (4), chest and abdominal wall (3) and the posterior lateral surface of the trunk (1) in age from 5 to 38 years (average 15.3 years). To eliminate the deformities, a pre‑expanded 21 integrated flaps based on the perforator vessels of the lateral artery of the chest and VI‑VII of the middle perforators of the intercostal arteries (5), VI‑X of the middle (6) and VI‑X of the anterior (3) perforators of the intercostal arteries, I — II perforators of the lumbar arteries (6) and perforators of the deep lower epigastric artery (1) were used. Results and discussion. The possibility of the integrated expanded flaps formation from the lateral surface of the chest and trunk on the basis of axial and perforator vessels based on axial and perforator adjacent areas due to the reconstruction of the vascular bed and tissue hemodynamic was shown. Conclusions. Clinical data of use of integrated expanded flaps from the lateral surface of the chest and abdominal wall based on axial or perforator vessels and the vascular network of perforator vessels of adjacent tissues allowed to obtain good (73.8 %) and satisfactory (26.2 %) results in the nearest and good (64.3 %) and satisfactory (33.7 %) results in the remote follow‑up period.
Authors and Affiliations
O. A. Zhernov, H. P. Kozynets, R. Y. Trach, O. O. Huz, A. O. Zhernov
Keywords
Related Articles
- EP ID EP452011
- DOI 10.30978/SU2018-4-18
- Views 115
- Downloads 0
Experimental and clinical rationale for the gastrointestinal bleeding treatment with endoscopic high frequency welding bipolar electrocoagulation
Problem of gastrointestinal bleeding treatment remains relevant, due to the high mortality. Endoscopic haemostasis reduces both general and postoperative mortality 3 — 4 times. There are a number of methods for endoscopi...
Dexpro as a strategy for rapid response to pain. What’s new about the known
New data are presented on dexketoprofen tromethamine, an isomeric form of ketoprophenum, which has proven to be an effective and safe analgesic drug, particularly during the perioperative period. The question of the begi...
Ciprofloxacin in therapy and prevention of purulent infections in patients with the hepatobiliary deseasre
The aim — to study the ciprofloxacin effectiveness in the treatment and prevention of purulent complications in patients with acute surgical pathology of the digestive system. Materials and methods. 85 patients with the...
The transabdominal preperitoneal aloplasty optimization for recurrent inguinal hernias after liechtenstein surgery
The aim — to improve the surgical treatment effectiveness for recurrent inguinal hernias after the Liechtenstein surgery by transabdominal preperitoneal alloplasty optimizing. Materials and methods. The surgical treatme...
Jaundice of mixed genesis treatment: a case report
As the number of patients in whom the leading disease syndrome is jaundice continues to increase, the issues of their differential diagnosis, the surgery extension choice (if necessary), rational conservative therapy in...