反向皮瓣有多安全?:系统评价。

Eplasty Pub Date : 2022-06-03 eCollection Date: 2022-01-01
Sanjib Tripathee, Surendra Jung Basnet, Apar Lamichhane, Lynda Hariani
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引用次数: 0

摘要

背景:小腿下三分之一、踝关节和足部的软组织重建对重建外科医生来说是一个挑战。重建的选择有限。逆行腓肠皮瓣相对容易操作,被认为是重建的良好选择。在研究中,并发症的发生率是可变的。本研究旨在系统回顾所有关于逆行腓肠皮瓣并发症的文献。皮瓣的整体复杂性有助于更好地了解皮瓣的可靠性。方法:采用MEDLINE、EMBASE、Google Scholar等软件进行文献检索,确定腓肠逆动脉皮瓣。结果:对89篇文章进行了汇总分析,在19年的时间里产生了2575名患者(2592个皮瓣)。大多数病例发生在亚洲国家(1540例,59.4%),大多数病例发生在中国(746例,28.8%)。逆行腓肠皮瓣手术最常见的原因是创伤/术后(1785/2592),其次是烧伤/疤痕。2592个皮瓣中有653个出现并发症(25.20%)。最常见的并发症是部分皮瓣丢失,204例(7.85%),其次是静脉充血(79例,3.05%)。只有66名参与者(占所有皮瓣的2.5%)观察到皮瓣完全丢失。结论:腓肠逆行皮瓣是一种可靠的小腿、踝关节、足部重建皮瓣。在精心操作的情况下,它可以提供与自由皮瓣相当的结果,并且在许多情况下,效果更好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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How Safe Is Reverse Sural Flap?: A Systematic Review.

Background: Soft tissue reconstruction of the lower third of the leg, the ankle, and the foot is challenging for reconstructive surgeons. The options for reconstruction are limited. Reverse sural flap is relatively easy to perform and considered a good option for reconstruction. The complication rates are variable in studies. This study aims to systemically review all available articles based on reverse sural flap focusing on complications of the flap. The overall complication of the flap helps to better understand the reliability of the flap.

Methods: A comprehensive literature search was performed using MEDLINE, EMBASE, and Google Scholar to identify cases of reverse sural artery flap.

Results: A pooled analysis of 89 articles was performed, which yielded 2575 patients (2592 flaps) over a period of 19 years. Most of the cases were performed in Asian countries (1540 flaps, 59.4%) with the majority being performed in China (746 flaps, 28.8%). The most common cause for reverse sural flap surgery was trauma/postsurgical (1785/2592) followed by burn/scarring. Flap complications were recorded in 653 of 2592 flaps (25.20%). The most common complication was partial flap loss, which was recorded in 204 flaps (7.85%) followed by venous congestion (79 flaps, 3.05%). Complete flap loss was observed only in 66 participants (2.5% of all the flaps performed).

Conclusions: Reverse sural flap is reliable flap for the reconstruction of lower leg, ankle, and foot. It can give a comparable outcome as free flap when meticulously performed and, in many cases, a better result.

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