Surgical therapy for massive deep skin and soft tissue injuries
Author(s): ZHENG Zhao, HU Da-hai, XU Ming-da, ZHU Xiong-xiang, HAN Jun-tao, DONG Mao-long, TAO Ke, WANG Hong-tao, XIE Song-tao, JIANG Chu-yun, CHEN Bi
Pages: 11-14
Year: 2009 Issue: 1
Journal: Chinese Journal of Burns
Keyword: Wounds and injuries; Surgical flaps; Reconstructive surgical procedures;
Abstract: Objective To explore the methods of repair of massive deep skin and soft tissue inju-ries. Methods Fifty-six patients with deep skin and soft tissue injuries were hospitalized from July 2006 to January 2008. Among them, 23 cases were caused by burn, 17 cases by electric injury, 7 cases by hot crush injury, 6 cases by avulsion injury, and 3 cases due to other reasons (including traffic accident, crush injury, soft tissue infection respectively). Sixty-five skin flaps were raised to repair and reconstruct the in-jured tissues, including 21 local flaps, 18 distant pedicled skin flaps, and 26 free skin flaps. The area of skin flaps ranged from 1.5 cm×1.0 cm to 39.0 cm × 23.0 cm. Results Sixty skin flaps survived com-pletely, partial necrosis occurred in 3 flaps, and complete necrosis in 2 flaps. There was no obvious differ-ence in average survival rate among local skin flaps (95.2%) , distant pedicled skin flaps (88.8%), and free skin flaps (92.3% , P >0.05). Conclusions Skin flap transposition can be still considered as the major effective method in repair of massive deep skin and soft tissue injury. On the premises of high survival rate, free skin flap transposition can be considered as the first choice.
Pages: 11-14
Year: 2009 Issue: 1
Journal: Chinese Journal of Burns
Keyword: Wounds and injuries; Surgical flaps; Reconstructive surgical procedures;
Abstract: Objective To explore the methods of repair of massive deep skin and soft tissue inju-ries. Methods Fifty-six patients with deep skin and soft tissue injuries were hospitalized from July 2006 to January 2008. Among them, 23 cases were caused by burn, 17 cases by electric injury, 7 cases by hot crush injury, 6 cases by avulsion injury, and 3 cases due to other reasons (including traffic accident, crush injury, soft tissue infection respectively). Sixty-five skin flaps were raised to repair and reconstruct the in-jured tissues, including 21 local flaps, 18 distant pedicled skin flaps, and 26 free skin flaps. The area of skin flaps ranged from 1.5 cm×1.0 cm to 39.0 cm × 23.0 cm. Results Sixty skin flaps survived com-pletely, partial necrosis occurred in 3 flaps, and complete necrosis in 2 flaps. There was no obvious differ-ence in average survival rate among local skin flaps (95.2%) , distant pedicled skin flaps (88.8%), and free skin flaps (92.3% , P >0.05). Conclusions Skin flap transposition can be still considered as the major effective method in repair of massive deep skin and soft tissue injury. On the premises of high survival rate, free skin flap transposition can be considered as the first choice.
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