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- Title
会阴部皮肤软组织撕脱伤的整形外科修复.
- Authors
徐立炜; 张鲜英; 刘毅; 陈黎明; 曹广通
- Abstract
Objective To discuss the plastic surgical methods of perineal skin and soft tissue in avulsion injuries. Methods From January 2012 to January 2022, 17 cases of traumatic avulsion injuries of perineal skin and soft tissue were analyzed from Department of Burn Plastic Surgery and Wound Repair of The Second Hospital of Lanzhou University. Early multidisciplinary comprehensive treatment was used to correct shock, organ damage repair, and preservation of perineal avulsed tissue with good blood flow. After expecting stable vital signs, various surgical methods such as acellular dermal matrix (ADM) and closed negative pressure drainage techniques, as well as flap and skin grafting were used to restore the perineal contour and function. Results All 17 patients were healed. Among them, 11 cases were multiple injuries with rib fracture, lung contusion, pelvic fracture, colon and rectal rupture, and anal sphincter injury. Six cases had complete or incomplete avulsion of skin, soft tissue of penis and scrotum with surrounding tissue. Ten patients were followed up form 1 month to 4 years, with an average of 5.9 months, 7 patients loss to followed up. Recovery of the perineum, penile scrotal contour and function were observed. Conclusion Perineal skin and soft tissue avulsion injury are often accompanied by systemic multi-part injury, with critical condition and large bleeding volume. Emergency management requires multidisciplinary cooperation. The injury and blood supply of the avulsed tissue are the key to the selection of a treatment plan and clinical prognosis. The avulsion tissue with good blood supply should be preserved as far as possible, which is beneficial to the restoration of the contour and function of the perineum.
- Subjects
SOFT tissue injuries; SURGICAL site; ANUS; SKIN grafting; PELVIC fractures; RIB fractures; FOURNIER gangrene
- Publication
Chinese Journal of Aesthetic & Plastic Surgery, 2023, Vol 34, Issue 3, p165
- ISSN
1673-7040
- Publication type
Article
- DOI
10.3969/j.issn.1673-7040.2023.03.010