重新检查脚形环肩动脉 (pCSA) 穿孔:从简单到复杂的局部区域重建
Matteo Meroni1, Mario F Scaglioni1
1Department of Hand and Plastic Surgery, Luzerner Kantonsspital, Lucerne, Switzerland; Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|September 25, 2023
概括
穿孔的脚环脚动脉 (pCSA) 穿孔是一个可靠的选择复杂的软组织缺陷在下和上背部. 这种多功能技术为各种重建需求提供了良好的美学和功能成果.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 微手术 微手术是一种微手术.
背景情况:
- 下和背部的软组织缺陷带来复杂的重建挑战.
- 缺陷的严重程度从表面的损伤到广泛的组织损失和淋巴功能障碍.
- 穿孔 (pCSA) 穿孔是一个可行的手术选择.
研究的目的:
- 为了评估PCSA穿孔片的有效性和多功能性,用于局部区域重建.
- 评估这种技术在患有下和上背部缺陷的患者中的审美和功能结果.
主要方法:
- 一个连续24名接受PCSA穿孔重建的患者的病例系列.
- 片被踏脚并用于从瘤切除,,淋巴并发症和烧伤中缺陷的局部区域重建.
- 收集的数据包括患者人口统计学,缺陷病因学和手术结果.
主要成果:
- 所有24名患者都获得了成功的治疗,具有良好的审美和功能效果.
- 一名患者需要进行二次手术,因为伤口消失;没有发生片损失.
- 在所有病例中,关闭初级捐赠部位都是成功的,平均随访时间为10.5个月.
结论:
- PCSA穿孔片是复杂软组织缺陷的局部区域重建的可靠和多功能方法.
- 它丰富的血管化允许广泛和适应性的片.
- 片的淋巴丰富性质使其适合于管理带淋巴切除术后的并发症.
相关概念视频
Assessment of the Cardiovascular System II: Inspection
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
Assessment of the Cardiovascular System III: Palpation
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Cardiovascular System Abnormal Findings I: Inspection and Palpation
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...


