Clinical effects of pedicled omental flap transplantation in repairing secondary rejection wounds after brain pacemaker implantation
10.3760/cma.j.cn501225-20220907-00396
- VernacularTitle:带蒂大网膜瓣移植修复脑起搏器置入后继发排异创面的临床效果
- Author:
Haonan GUAN
1
;
Xian MA
;
Yingkai LIU
;
Yiwen NIU
;
Bomin SUN
;
Jiajun TANG
;
Shuliang LU
Author Information
1. 上海交通大学医学院附属瑞金医院创面修复中心，上海市创面修复研究中心，上海 200025
- Keywords:
Parkinson disease;
Inflammation;
Brain pacemaker;
Rejection wound;
Wound repair;
Subcutaneous pocket;
Omentum
- From:
Chinese Journal of Burns
2023;39(9):882-885
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effects of pedicled omental flap transplantation in repairing secondary rejection wounds after brain pacemaker implantation.Methods:A retrospective observational study was conducted. From January to August 2021, 5 patients with secondary rejection wounds after brain pacemaker implantation who met the inclusion criteria were admitted to the Wound Repair Center of Ruijin Hospital of Shanghai Jiao Tong University School of Medicine, including 3 males and 2 females, aged 56-69 years, with the wound developed at the pulse generator implantation site in the chest in 2 cases, at the connection site of the wire and electrode behind the ear in 2 cases, and at both the chest and the back of the ear in 1 case. All the wounds were repaired by pedicled omental flap transplantation. The wound area after debridement was 2-15 cm 2. After operation, the wound healing and related complications (pain, infection, incisional hernia, omental flap necrosis, etc.) were observed. During follow-up, the recurrence of the wound was observed. Results:The wounds of all 5 patients healed within 2 weeks after operation, without related complications. During follow up of 12-18 months, 1 patient got a recurrence of rejection wound behind the left ear 4 months after surgery and eventually had the brain pacemaker removed; the other 4 patients had no recurrence of wounds.Conclusions:Pedicled omental flap transplantation can repair the secondary rejection wounds after brain pacemaker implantation safely and effectively, with few postoperative complications.
