用上腹部浅下动脉皮瓣覆盖下肢和足部大面积软组织缺损。

IF 1.6 4区 医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1424681
Dong Liu, Xingwen Xie, Ping An Chu, Xin Zhou, Lin Luo, Ning Li
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引用次数: 0

摘要

背景:下肢和足部大面积软组织缺损是临床上的常见病,已有大量皮瓣用于治疗。然而,使用上腹部浅下动脉(SIEA)皮瓣的报道却很少。本综述旨在介绍使用上腹部浅动脉皮瓣修复下肢和足部大面积软组织缺损的经验:回顾性回顾了2018年3月至2022年7月期间使用SIEA皮瓣覆盖超过120平方厘米(15 × 9厘米)的下肢和足部缺损的11例患者的数据。缺损的平均大小为 18 × 11 cm2(范围为 15 × 9 cm2-32 × 16 cm2)。记录了皮瓣存活率、手术并发症和总体长期疗效:结果:11 个皮瓣全部存活。结果:11 个皮瓣全部存活,其中一个皮瓣边缘部分坏死,经多次换药后愈合。此外,一个皮瓣出现轻度静脉充血。平均随访时间为 18 个月(从 12 个月到 30 个月不等)。皮瓣的平均大小为 20 × 12 cm2(范围为 17 × 9 cm2-34 × 18 cm2)。据观察,皮瓣外形美观,纹理清晰。供体伤口已成功闭合,仅残留线状瘢痕:SIEA皮瓣的特点是供区隐蔽、血管位置表浅、易于取材和初次闭合,因此具有良好的美学效果。它是修复下肢和足部大面积软组织缺损的合适选择。
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Coverage of large soft tissue defects of the lower limb and foot with superficial inferior epigastric artery flap.

Background: Large soft tissue defects of the lower limb and foot are common occurrence in clinical practice and a considerable number of flaps have been used to treat them. However, there have been few reports using the superficial inferior epigastric artery (SIEA) flap. This review aims to present the experience of using the SIEA flaps for the repair of large soft tissue defects of the lower limb and foot.

Methods: A retrospective review of data from 11 patients who underwent coverage of lower limb and foot defects exceeding 120 cm2 (15 × 9 cm) using SIEA flaps from March 2018 to July 2022 were retrospectively reviewed. The average size of the defects was 18 × 11 cm2 (range 15 × 9 cm2-32 × 16 cm2). Flap survival rates, surgical complications and overall long-term outcomes were recorded.

Results: All 11 flaps survived. One flap was partially necrotic at the edge and healed after several changes of dressing. Additionally, one flap presented with mild venous congestion. The mean follow-up period was 18 months (ranging from 12 to 30 months). The mean size of the flaps was 20 × 12 cm2 (range 17 × 9 cm2-34 × 18 cm2). The flaps were observed to be aesthetically pleasing and exhibited a well-defined texture. The donor wounds were successfully closed primarily, with only linear scarring remaining.

Conclusions: The SIEA flap is characterised by concealed donor area, superficial vascular location, easy access and primary closure, which results in favourable aesthetic outcomes. It is an appropriate choice for the repair of large soft tissue defects of the lower limb and foot.

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来源期刊
Frontiers in Surgery
Frontiers in Surgery Medicine-Surgery
CiteScore
1.90
自引率
11.10%
发文量
1872
审稿时长
12 weeks
期刊介绍: Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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