Study on Blood Circulation Monitoring After the Tissue Transfer of Ultrathin or Conventional Anterolateral Thigh Flaps.

IF 1.5 Q3 SURGERY

Plastic and Reconstructive Surgery Global Open Pub Date : 2024-11-21 eCollection Date: 2024-11-01 DOI:10.1097/GOX.0000000000006337

Zhegang Zhou, Longbiao Yu, Fanbin Meng, Jingjing Wen, Yingfeng Xiao, Shengxiang Wan, Hui Zeng, Fei Yu

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Abstract

Background: This study was conducted to compare the incidence of postoperative complications related to blood circulation in the treatment of skin defects through the transfer of ultrathin anterolateral thigh (ALT) flaps or conventional ALT flaps.

Methods: Patients who received ultrathin ALT flap transfer (group A) and conventional ALT flap transfer (group B) due to skin defects at Peking University Shenzhen Hospital from January 2016 to January 2023 were included in this study. The postoperative incidence of ecchymosis, vascular crisis (artery or vein), and flap survival were compared between the 2 groups of patients.

Results: In group A, 27 patients recovered and 8 patients reported ecchymosis. In addition, 32 patients achieved flap survival, 1 patient had partial flap necrosis, and 2 patients had complete flap necrosis. In group B, 61 patients recovered and 6 patients reported ecchymosis. In addition, 65 patients achieved flap survival, 1 patient had partial flap necrosis, and 1 patient had complete flap necrosis. Compared with group B, the incidence of ecchymosis was significantly higher in group A (P < 0.05).

Conclusions: Postoperative blood circulation monitoring (especially ecchymosis) is an important part of postoperative nursing observation in the treatment of skin defects with ultrathin ALT flap transfer. There is no significant difference in the incidence of postoperative vascular crisis between ultrathin and conventional ALT flap transfer. However, the incidence of nonvenous crisis ecchymosis after ultrathin ALT flap transfer is significantly higher than that after conventional ALT flap transfer.

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超薄或传统大腿前外侧皮瓣组织转移后血液循环监测研究

背景：本研究旨在比较通过转移超薄大腿前外侧（ALT）皮瓣或传统ALT皮瓣治疗皮肤缺损的术后血液循环相关并发症的发生率：方法：纳入2016年1月至2023年1月在北京大学深圳医院因皮肤缺损接受超薄ALT皮瓣转移（A组）和传统ALT皮瓣转移（B组）的患者。比较两组患者术后瘀斑、血管危象（动脉或静脉）的发生率和皮瓣存活率：结果：A组有27名患者康复，8名患者出现瘀斑。此外，32 名患者皮瓣存活，1 名患者皮瓣部分坏死，2 名患者皮瓣完全坏死。在 B 组中，61 名患者康复，6 名患者出现瘀斑。此外，65 名患者皮瓣存活，1 名患者皮瓣部分坏死，1 名患者皮瓣完全坏死。与 B 组相比，A 组的瘀斑发生率明显更高（P < 0.05）：结论：术后血循环监测（尤其是瘀斑）是超薄 ALT 皮瓣转移治疗皮肤缺损术后护理观察的重要组成部分。超薄 ALT 皮瓣转移术与传统 ALT 皮瓣转移术的术后血管危象发生率无明显差异。但是，超薄 ALT 皮瓣转移术后非静脉危象瘀斑的发生率明显高于传统 ALT 皮瓣转移术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic and Reconstructive Surgery Global Open SURGERY-

CiteScore

2.20

自引率

13.30%

发文量

1584

审稿时长

10 weeks

期刊介绍： Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.