[Clinical effects of pedicled omental flap transplantation in repairing secondary rejection wounds after brain pacemaker implantation].

Q3 Medicine

Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns Pub Date : 2023-09-20 DOI:10.3760/cma.j.cn501225-20220907-00396

H N Guan, X Ma, Y K Liu, Y W Niu, B M Sun, J J Tang, S L Lu

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引用次数: 0

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 cm². 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.

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[带蒂大网膜瓣移植修复脑起搏器植入术后继发性排斥反应创面的临床疗效]。

目的：探讨带蒂大网膜瓣移植修复脑起搏器植入术后继发性排斥反应创面的临床效果。方法：采用回顾性观察研究。2021年1-8月，上海交通大学医学院瑞金医院创伤修复中心收治5例符合入选标准的脑起搏器植入术后继发性排异伤患者，其中男3例，女2例，年龄56-69岁，2例胸部脉冲发生器植入部位出现创伤，2例在耳后的导线和电极的连接部位，1例在胸部和耳朵后部。所有伤口均采用带蒂大网膜瓣移植修复。清创术后的伤口面积为2-15cm2。术后观察伤口愈合情况及相关并发症（疼痛、感染、切口疝、网膜瓣坏死等）。在随访期间，观察到伤口复发。结果：5例患者均在术后2周内痊愈，无相关并发症。在12-18个月的随访中，1名患者在术后4个月左耳后出现排异伤口复发，最终摘除了大脑起搏器；其余4例无复发。结论：带蒂大网膜瓣移植可安全有效地修复脑起搏器植入术后继发性排斥反应创面，术后并发症少。

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来源期刊

Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns Medicine-Medicine (all)

自引率

0.00%

发文量

8511

期刊介绍： The Chinese Journal of Burns is the most authoritative one in academic circles of burn medicine in China. It adheres to the principle of combining theory with practice and integrating popularization with progress and reflects advancements in clinical and scientific research in the field of burn in China. The readers of the journal include burn and plastic clinicians, and researchers focusing on burn area. The burn refers to many correlative medicine including pathophysiology, pathology, immunology, microbiology, biochemistry, cell biology, molecular biology, and bioengineering, etc. Shock, infection, internal organ injury, electrolytes and acid-base, wound repair and reconstruction, rehabilitation, all of which are also the basic problems of surgery.