带蒂阔筋膜张瓣的多功能性:一种用于不同解剖区域重建的有用和可靠的技术。

Plastic Surgery International Pub Date : 2014-01-01 Epub Date: 2014-11-18 DOI:10.1155/2014/846082
Md Sohaib Akhtar, Mohd Fahud Khurram, Arshad Hafeez Khan
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引用次数: 9

摘要

目的和目标。本研究的目的是评估带蒂阔筋膜张肌瓣在不同解剖区域重建中的多功能性。材料与方法。在这项回顾性研究中,共有34例患者在不同的解剖区域有缺陷。缺损位于粗隆(n = 12)、腹股沟(n = 8)、会阴(n = 6)、下前腹部(n = 6)、臀区(n = 1)和坐骨区(n = 1)。缺损的病因包括创伤(n = 12)、感染(n = 8)、压疮(n = 8)和恶性肿瘤(n = 6)。采用带蒂阔筋膜张皮瓣进行重建。根据皮瓣的生存能力和供区发病率对患者进行评估。还概述了手术程序的技术细节。结果。除5例出现轻微并发症和1例皮瓣完全丢失外,所有皮瓣均存活良好。在轻微并发症中,1例患者发生远端边缘坏死,1例患者发生感染,经敷料和抗生素治疗3天内消退,2例患者供体部位出现部分植皮丢失,其中1例需要重新植皮,1例经敷料和抗生素治疗完全愈合。随访时间为1 ~ 12个月,平均6个月。供体部位发病率极低。结论。结论带蒂阔筋膜张肌瓣是修复转子、腹股沟、下前腹部、会阴及坐骨区缺损的一种实用、可靠、简便、省时的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Versatility of pedicled tensor fascia lata flap: a useful and reliable technique for reconstruction of different anatomical districts.

Versatility of pedicled tensor fascia lata flap: a useful and reliable technique for reconstruction of different anatomical districts.

Versatility of pedicled tensor fascia lata flap: a useful and reliable technique for reconstruction of different anatomical districts.

Versatility of pedicled tensor fascia lata flap: a useful and reliable technique for reconstruction of different anatomical districts.

Aims and Objectives. The aim of this study was to evaluate the versatility of pedicled tensor fascia lata flap for reconstruction of various anatomical regions. Materials and Methods. In this retrospective study a total of 34 patients with defects over various anatomical regions were included. The defects were located over the trochanter (n = 12), groin (n = 8), perineum (n = 6), lower anterior abdomen (n = 6), gluteal region (n = 1), and ischial region (n = 1). The etiology of defects included trauma (n = 12), infection (n = 8), pressure sores (n = 8), and malignancy (n = 6). Reconstruction was performed using pedicled tensor fascia lata flaps. Patients were evaluated in terms of viability of the flap and donor site morbidity. The technical details of the operative procedure have also been outlined. Results. All the flaps survived well except 5 patients in which minor complications were noted and 1 who experienced complete flap loss. Of those with minor complications, 1 patient developed distal marginal necrosis and 1 developed infection which subsided within three days by dressings and antibiotics and in 2 patients partial loss of the skin graft occurred at the donor site out of which 1 required regrafting and another one healed completely with dressing and antibiotics. All the patients were followed up for an average period of 6 months, ranging from 1 to 12 months. Donor site morbidity was minimal. Conclusion. It was concluded that the pedicled tensor fascia lata flap is a versatile, reliable, easy, and less time consuming procedure for the coverage of defects around trochanter, groin, lower anterior abdomen, perineum, and ischial region.

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