Surgical therapy for massive deep skin and soft tissue injuries.
- Author:
Zhao ZHENG
1
;
Da-hai HU
;
Ming-da XU
;
Xiong-xiang ZHU
;
Jun-tao HAN
;
Mao-long DONG
;
Ke TAO
;
Hong-tao WANG
;
Song-tao XIE
;
Chu-yun JIANG
;
Bi CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Aged, 80 and over; Burns; surgery; Child; Child, Preschool; Female; Humans; Male; Middle Aged; Reconstructive Surgical Procedures; methods; Skin; injuries; Skin Transplantation; methods; Soft Tissue Injuries; surgery; Surgical Flaps; Young Adult
- From: Chinese Journal of Burns 2009;25(1):11-14
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the methods of repair of massive deep skin and soft tissue injuries.
METHODSFifty-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 injured 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 x 1.0 cm to 39.0 cm x 23.0 cm.
RESULTSSixty skin flaps survived completely, partial necrosis occurred in 3 flaps, and complete necrosis in 2 flaps. There was no obvious difference 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).
CONCLUSIONSSkin 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.
