Аннотация:
Objective: Comprehensive analysis of opportunities, technical features and disadvantages of wound plasty with distant pedicled flap closing wound defects of the limbs was performed. Methods: The study included 14 patients with limb wounds of different origin, who were treated using distant pedicled flaps grafting. Wounds were of different origin (deep frostbites, chronic osteomyelitis, neurotrophic disorders), diverse localization and perimeter. The indication for this type of full-layer plastics was the need to treat the wound in a functionally significant zone and the impossibility of using other, less complex methods of skin grafting. Results: A positive immediate result of treatment was obtained in all 14 cases of distant flaps grafting. The development of complications (critical bend of the pedicle of the flap, sub-flap hematoma, the flap's edge necrosis) was registered in 3 cases in the early postoperative period, those complications did not significantly affect the immediate out
Липатов К. В. Константин Владимирович 1965-
Комарова Е. А. Елена Александровна 1981-
Хрупкин В. И. Валерий Иванович 1952-
Кирюпина М. А. Мария Андреевна 1996-
Lipatov K. V. Konstantin Vladimirovich 1965-
Komarova E. A. Elena Aleksandrovna 1981-
Khrupkin V. I. Valerij Ivanovich 1952-
Kiryupina M. A. Mariya Andreevna 1996-
Significance of distant pedicled flaps grafting in closing traumatic defects
Текст визуальный непосредственный
Новости хирургии
Витебский государственный медицинский университет
Т. 27, Вып. 1 С. 42-48
2019
Статья
"Italian plasty" Distant flaps plasty Extensive wounds Skin transplantation Surgical flaps
Objective: Comprehensive analysis of opportunities, technical features and disadvantages of wound plasty with distant pedicled flap closing wound defects of the limbs was performed. Methods: The study included 14 patients with limb wounds of different origin, who were treated using distant pedicled flaps grafting. Wounds were of different origin (deep frostbites, chronic osteomyelitis, neurotrophic disorders), diverse localization and perimeter. The indication for this type of full-layer plastics was the need to treat the wound in a functionally significant zone and the impossibility of using other, less complex methods of skin grafting. Results: A positive immediate result of treatment was obtained in all 14 cases of distant flaps grafting. The development of complications (critical bend of the pedicle of the flap, sub-flap hematoma, the flap's edge necrosis) was registered in 3 cases in the early postoperative period, those complications did not significantly affect the immediate out