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整体移植作为免费的辅助体外片,用于下肢覆盖受损的下肢
Madyson I Brown1, Laura I Galarza2, Nahstajia Pinnock3
1Plastic Surgery, University of Mississippi School of Medicine, Jackson, USA.
Cureus
|October 30, 2023
概括
整体移植皮肤与全身自由板相结合,为复杂的下肢重建提供了一种可行的混合方法. 这种方法有助于伤口愈合和成功的肢体救援严重的创伤伤害.
科学领域:
- 重建性手术是一种重建性手术.
- 组织工程是组织工程.
- 创伤外科 手术 创伤外科
背景情况:
- 整体移植是为了暂时覆盖软组织缺陷而建立的,特别是在烧伤文献中.
- 它被描述为自由组织转移的辅助,但对下肢挽救的证据是有限的.
研究的目的:
- 为了评估混合方法的有效性,使用omental free flap和allograft用于下肢救援.
- 评估这种技术在患有严重创伤伤的患者中的结果.
主要方法:
- 两名患者的病例系列经历了下肢救援,使用omental free flap和allograft,然后进行分厚皮肤移植.
- 分析患者特征 (年龄,吸烟,并发病,损伤机制,伤口类别/区域) 和终点 (片损失,感染,重新手术,救援成功).
主要成果:
- 两位患者都有大,受污染的Gustilo IIIB下肢伤口,并且是活跃的吸烟者.
- 发生了部分膜缩,但在分阶段移植期间得到了管理;没有一个患者需要计划外的重新手术.
- 两位患者都成功地挽救了功能性四肢,并恢复了行走.
结论:
- 在创伤后的下肢重建中,全移植皮肤作为omental自由的实用和有效补充.
- 这种混合方法有助于 edem 解决,防止片干燥,并允许在复杂的伤口分阶段移植.
- 这种技术对于较大的,受污染的和不规则的下肢缺陷特别有益,有助于对片的生存能力进行评估.
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