股内侧筋膜皮瓣重建富尼尔坏疽缺损的疗效观察。

Eplasty Pub Date : 2022-07-12 eCollection Date: 2022-01-01
Özcan Öcük, Fatma Hilal Yağın, Orhan Gazi Dinç, Cemal Fırat
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引用次数: 0

摘要

背景:富尼尔坏疽(FG)是一种累及肛周和腹部的坏死性筋膜炎。它进展迅速,需要紧急干预。在临床随访中应用真空辅助闭合(VAC)治疗,并在该区域使用大腿内侧上皮瓣,以有效、功能和快速的方法完成治疗。本研究探讨了这种重建方法的临床细节。方法:选取2016 - 2020年收治的15例FG清创后行股内侧上皮瓣VAC治疗组织缺损重建术患者。对患者进行住院临床评价和术后手术评价。结果:在创面成熟且肉芽充分的患者中,应用股内侧上皮瓣后立即进行VAC治疗,缩短了手术时间,缩短了术后引流时间,有效地治疗了死腔。由于皮瓣靠近该区域,获得了美观和功能的结果。此外,由于皮瓣中存在感觉分支,因此根据皮瓣大小的比例获得感觉结果。结论:大腿内侧上皮瓣是一种实用、有效、快速的修复FG清创后组织缺损的方法。与VAC治疗联合使用,效果显著。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effectiveness of Fasciocutaneous Superomedial Thigh Flap in Reconstruction of Fournier Gangrene Defects.

Effectiveness of Fasciocutaneous Superomedial Thigh Flap in Reconstruction of Fournier Gangrene Defects.

Effectiveness of Fasciocutaneous Superomedial Thigh Flap in Reconstruction of Fournier Gangrene Defects.

Background: Fournier gangrene (FG) is a necrotizing fasciitis involving perianal and abdominal regions. It progresses quickly and requires urgent intervention. With the use of vacuum-assisted closure (VAC) treatment applied during clinical follow-up and the use of superomedial thigh flap in the region, the treatment is completed with an effective, functional, and rapid approach. This study examines the clinical details of this method for reconstruction.

Methods: The study included 15 patients who underwent superomedial thigh flap in VAC treatment reconstruction for tissue defect after FG debridement from 2016 to 2020. The patients were examined in the form of clinical evaluation with hospital admission and surgical evaluation in the postop process.

Results: In patients with wound maturation and sufficient granulation, superomedial thigh flap application followed by VAC treatment soon after shortened the operation time, shortened the postop drain time, and provided effective treatment of dead space. An aesthetic and functional result was obtained with the proximity of the flap to the area. In addition, due to the sensory branches present in the flap, a sensory result was obtained according to the ratio of flap size.

Conclusions: Superomedial thigh flap provides a practical, effective, and fast solution to the tissue defect that occurs after FG debridement. Effective results can be obtained when combined with VAC therapy.

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