[Plastic surgery using skin and adipose tissue flaps in burns and their sequelae]

Area of Science:

• Reconstructive surgery
• Burn management
• Plastic surgery

Background:

• Severe burns (IV degree) often involve exposed or necrotic deep structures like tendons, bone, and joints.
• Timely surgical intervention is critical for preventing complications and optimizing healing.

Purpose of the Study:

• To substantiate principles of cutaneous plasty for severe burns with exposed deep structures.
• To demonstrate the necessity and feasibility of early plasty using fatty-cutaneous flaps.

Main Methods:

• Review of over 250 cases of burn plasty.
• Application of various flap techniques including interpolated, sliding, Filatov's graft, "Italian plasty", dermotension, pedicle grafts, and free flaps.
• Assessment of flap effectiveness and patient rehabilitation outcomes.

Main Results:

• Early plasty with fatty-cutaneous flaps is effective even with significant inflammatory processes and microbial contamination.
• Various flap methods were employed, with specific techniques noted for their peculiarities.
• Successful social and vocational rehabilitation was achieved in a significant number of patients.

Conclusions:

• Early cutaneous plasty with fatty-cutaneous flaps is a viable and necessary treatment for severe burns involving deep tissue damage.
• The choice of plasty method should be tailored to the specific burn characteristics.
• Effective surgical management leads to positive functional and social reintegration of patients.