Use of complex patches for the reconstruction of defects of soft tissue of the trunk and limbs caused by traumatic damage
DOI:
https://doi.org/10.11603/2414-4533.2018.4.9719Keywords:
trauma, soft tissue defect, wound surface, complex rags, limbsAbstract
The aim of the work: to expand the indications for the use of plastic reconstructive interventions for the early closure of soft tissue defects of the trunk and limbs of traumatic genesis.
Materials and methods. The paper analyzes data of 242 patients with soft tissue defects of the trunk and limbs, which resulted from mechanical damage. 697 surgical interventions were performed to patients, whom 492 (70.6 %) operations for the restoration of damaged tissues from 2008 to 2016 were performed.
Results and Discussion. All patients were divided into 4 groups depending on the size, depth and degree of damage to the soft tissues and other structures of the trunk and limbs. Group I – 44 patients with a limited area of damage to the skin and underlying tissues to the deep fascia. 51 skin repair interventions using autodermoplasty was performed. Complex patches were not used. Group II (n = 67) – patients with an extensive wound surface and soft tissue damage below the deep fascia. In this group, 144 surgical interventions were performed, of whom 23 were complex flaps for the restoration of soft tissues. The third group consisted of 90 patients with defects in the epithelial tissues, which appeared together or as a result of damage to the osteoarticular apparatus. 272 operations were performed, of which 35 interventions using complex tissue complexes. Group IV (n = 41) – patients with a combined or multiple injury, accompanied by damage to the great vessels, nerves, partial or complete separation of the limb. In this group, 220 operations were performed, of which 47 operations were complex flaps.
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