Zaporizhzhia state medical university non-invasive methods of diagnostics in the planning of reconstructive interventions at the limits of complicated complexes of tissue

Abstract

The aim of the work: to investigate the effectiveness of the ultrasonic duplex scanning method in the planning of reconstructive interventions in the case of defects in the lining of the limbs with complicated tissue complexes.

Materials and Methods. Data of 50 patients who underwent ultrasound in the preoperative period to select the scope of surgery were analyzed. In the study of limb hemodynamics included confirmation of the patency of the vessels and the degree of their functioning. In addition, ultrasound were used to study regional hemodynamics in the area of ​​the wound defect and in the donor region of the future complex flap.

Results and Discussion. In group I (n = 15), patients with extensive (more than 1 % area) wound surface and soft tissue damage below the deep fascia after detailed preoperative preparation and hemodynamic investigation of the area of ​​damage, 25 (20.2%) DPT recovery operations were performed. Group II (n = 13) consisted of victims with DFT who emerged together or as a result of damage to the joint-joint apparatus - 42 (33.9%) of the intervention. Group III (n = 22), patients with combined or multiple trauma, accompanied by damage to the main vessels, nerves, partial or complete dissection of the limb. In this group, 57 (45.9 %) reconstructions of DPT were performed.