Effects of ultrathin abdomen flap on repairing deep electric burn wounds in finger of pediatric patients
10.3760/cma.j.issn.1009-2587.2018.08.006
- VernacularTitle: 腹部超薄皮瓣修复小儿手指深度电烧伤创面的效果
- Author:
Juntao HAN
1
;
Jun LI
;
Xiaowen GAO
;
Wenbin JIA
Author Information
1. Burn Centre of PLA, Department of Burns and Cutaneous Surgery, Xijing Hospital, Air Force Medical University, Xi′an 710032, China
- Publication Type:Journal Article
- Keywords:
Burns, electric;
Surgical flaps;
Child;
Fingers;
Ultrathin flap
- From:
Chinese Journal of Burns
2018;34(8):513-515
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of ultrathin abdomen flap in repairing deep electric burn wounds in finger of pediatric patients.
Methods:A total of 14 pediatric patients with simple electric burns in finger were admitted to our unit from March 2013 to October 2017. Six patients had electric burns in one finger, 5 patients had electric burns in two fingers, and 3 patients had electric burns in three fingers. The size of wounds in single finger ranged from 2.0 cm×1.0 cm to 3.5 cm×2.0 cm. After complete preoperative examination, wounds debridement and ultrathin abdomen flap repair operation were performed on 3 to 6 days post injury. Six pediatric patients were treated with abdominal random flap, 4 patients were treated with inferior epigastric artery paraumbilical perforator bilobed flap, and the other 4 patients were treated with superficial circumflex iliac artery bilobed flap. The size of flaps ranged from 4.0 cm×2.0 cm to 8.0 cm×4.0 cm. The donor sites were sutured directly.
Results:The flaps of 14 pediatric patients survived well after operation, and no flap showed blood supplying disorder. During follow-up of 3 to 24 months, the appearance and function of fingers were good, and the donor sites recovered well, with no cicatrix contracture deformity.
Conclusions:The ultrathin abdomen flap is one of the good choices for repairing deep electric burn wounds in finger of pediatric patients.
