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 122
- Downloads 0
Strategy optimization in the acute pancreatitis treatment
The aim — to analyze the efficacy of ethyl methylhydroxypyridine succinate (Lodixem) and the combination of ethylmethylhydroxypyridine succinate and pentoxifylline in a Ringer Lactate solution (Lodixem + Latren) in the t...
Combined shrapnel injury of the inferior vena cava which caused bullet pulmonary artery embolism (case report and review of the literature)
Bullet embolism is a rare and unpredictable complication of gunshot and mine‑explosive injuries. With only few cases described in the literature, bullet embolism may become a diagnostic challenge for emergency and milita...
Endoscopic transbronchial ultrasound guided lung biopsy for pulmonary dissemination diagnosis
The aim — to study the diagnostic value of endobronchial ultrasound (EBUS)guided transbronchial biopsy of lung (TBBL) for pulmonary dissemination syndrome. Materials and methods. The results of EBUS TBBL performance in...
Surgery for total and subtotal neck contractures with pre-expanded posterior cervicothoracic, cervicoshoulder, and parascapular flaps
Restoration of adequate skin coverage, movements and aesthetic neck contours for the anterior chest lesion, as the main donor sites, is one of the important problems of reconstructive surgery. The aim — to improve the s...
Surgical treatment of Gottron’s carcinoide papillomatosis of the skin. Case study
The current case study has reported a successful surgical treatment of a 50‑years‑old female patient with Gottron’s carcinoid papillomatosis of the skin. The patient was hospitalized to the center of thermal trauma and p...