TEMPORARY PEDICLE FLAP GRAFTING IN TREATMENT OF PATIENTS WITH INJURIES AND SCARS

Abstract

Aim. The aim of our work was to study the results of surgical treatment of patients with the temporary pedicle flaps grafting in the recovery of shed skin cover.Materials and methods. 97 cases of the flaps use for the treatment of 92 patients aged from 9 months to 63 years were analyzed. All patients were treated in the Burn Unit of the Scientific Research Institute – S.V. Ochapovsky Regional Clinical Hospital №1 with thermal, electrical, and mechanical injuries and their consequences within 2006-2017.Results. “Acute” flaps grafting was performed in 58 (63%) patients (61 flaps), prefabrication of flaps was performed in 34 (37%) patients (36 flaps). From the migration of the flap to its modeling, the patients underwent the immobilization of interconnected areas of the body. This period was from 24,1±1,8 to 40.9±13.7 days and depended on the characteristics of the flap and its preliminary preparation. Artificial syndactylies were made in 24.4% cases of hands surgeries. It required additional surgical correction later. Conclusion. Despite the duration and multiple stages, temporary pedicle flaps grafting sometimes remains the only feasible method of surgical treatment aimed at correction of defects of the skin and preservation of deep anatomical structures.

Keywords

• skin grafting
• skin flaps
• wounds
• scars
• cicatricial deformities
• surgical treatment