Nursing care of the treatment for degloving injury in foot by the combination of free femoral anterolateral skin flap transplantation and vacuum sealing drainage technique
10.3760/cma.j.issn.1672-7088.2015.35.007
- VernacularTitle:游离股前外侧皮瓣联合负压封闭引流技术治疗全足皮肤套状撕脱伤患者的护理
- Author:
Yuhong FU
;
Liping ZHU
;
Lan MO
- Publication Type:Journal Article
- Keywords:
Nursing care;
Surgical flaps;
Foot injuries;
Vacuum sealing drainage
- From:
Chinese Journal of Practical Nursing
2015;(35):2676-2678
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical nursing methods for the treatment of the skin degloving injury in foot by the combination of free femoral anterolateral skin flap transplantation and vacuum sealing drainage (VSD) technique. Methods From January 2010 to January 2014, 18 cases of the skin degloving injury in foot were treated by debridement and implant skin, negative pressure drainage and irrigation at first period, then the operation to repair the foot wound by transplant femoral anterolateral skin flap were done at second period. Nurses applied the key technology of VSD into postoperative nursing. Nurses should master the observation method and characteristics for the flow of blood to the flap skin, the method for foot position nursing, afford effective analgesic care, and flap local high flow oxygen therapy,improve the local tissue oxygen partial pressure and introduce the foot early functional exercise during postoperative. Results Eighteen cases flaps all survived. Clients were followed-up for 6 to 12 months,the discovery showed that all of the clients had good flap blood supply,the skin was soft and elastic,and the function of foot were recovered well. Conclusions The combination of of free femoral anterolateral skin flap transplantation and VSD technique apply into foot degloving injury repairation postoperative care,by application of high quality nursing, it really can improve the success rate of surgery and reduce the pain for clients.
