[Secondary reconstruction after burns of the anogenital area].

D Drücke, M Lehnhardt, L Steinsträsser, S Langer, H H Homann, H U Steinau
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Abstract

The incidence of burns of the genitalia and peri-anal region which may cause a reconstructive intervention is very low. In the most cases the use of split thickness skin grafts yields a sufficient permanent wound closure. Upcoming problems such as painful scare formation require a reconstructive intervention (Z-plasty, full thickness skin grafting, pedicled flaps etc.). In case that the anal sphincter is involved with the consequence of incontinence or major damage of the genitalia occurred, sophisticated operative solutions are necessary.

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[肛门生殖器区烧伤后的二次重建]。
生殖器和肛周区域烧伤的发生率非常低,这可能导致重建干预。在大多数情况下,使用分厚皮肤移植物可以获得足够的永久性伤口愈合。即将出现的问题,如疼痛的恐惧形成需要重建干预(z -成形术,全层皮肤移植,带蒂皮瓣等)。如果肛门括约肌与尿失禁或生殖器发生重大损伤有关,则需要复杂的手术解决方案。
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