scholarly journals Free flap transplantation combined with skin grafting and vacuum sealing drainage for repair of circumferential or sub-circumferential soft-tissue wounds of the lower leg

2013 ◽  
Vol 19 ◽  
pp. 510-517 ◽  
Author(s):  
Ji-jie Hu
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Skin Grafting ◽  
Lower Leg ◽  
Vacuum Sealing ◽  
Vacuum Sealing Drainage

LONG-TERM DONOR-SITE MORBIDITY IN COMPOSITE ANTEROLATERAL THIGH FREE FLAP FOR COMPLEX DEFECT OF LOWER LEG AND FOOT RECONSTRUCTION

2020 ◽  
pp. 85-91
Author(s):  
Phuc Le Hong ◽  
Son Tran Thiet ◽  
Thuy Nguyen Xuan
Keyword(s):  
Soft Tissue ◽  
Skin Graft ◽  
Free Flap ◽  
Donor Site ◽  
Lower Extremities ◽  
Lower Leg ◽  
Donor Site Morbidity ◽  
Thigh Circumference ◽  
Anterolateral Thigh

Background: In recent years, the composite anterolateral thigh free flap with tensor fasciae latae or vastus lateralis has been a new-applied type of flap that can provide very good reconstruction materials in complex defects of lower leg and foot. The study purpose is to evaluate the systematically complications of donor site, related factors to results of the donor area, in order to apply the result to improve the treatment, which have not been much reported in literature. Materials and Methods: Systematic donor site morbilidy evaluation in a prospective, uncontrolled clinical descriptive study of 33 composite anterolateral thigh free flaps in various forms to reconstruct anatomical structures or to resconstruct deep defects combined with covering the surfaces for complex soft tissue defects in lower extremities for 32 patients due to different causes in lower leg and foot area from 2014-2019 at Hue University of Medicine and Pharmacy. Examining and evaluating aesthetic and functional result of donor-site 3 months and 6 months up to 2 year after surgery; evaluating the correlation between the width and the type of the flaps and donor site closure methods. Result: In 33 composite flaps used, flap width to thigh circumference less than 20% in 27 cases (81.8%), more than 20% in 6 cases (18.20% ); There were 28 cases in which the donor site was directly closed, 5 cases required skin graft; All direct closed cases had flap width/ thigh circumference index below 20%; On the contrary, in cases having this index greater than 20%, the donor site required skin graft with p < 0.01. There are 11/33 (33.33%) of cases reported complications in donor site ; lateral thigh paresthesia is the most complicated complication with 8/33 cases (24.24%), followed by bad scarring 3/33 cases (9.09%). Conclusion: Long term follow up donor site morbility after composite anterior thigh free flap present 11/33 cases (33.33%): mostly complications of the donor site are thigh paresthesia with 8/33 cases (24.24%), and bad scarring 3/33 cases (9,09%), which improve time by time. Keywords: Composite anterior thigh free flap, lower extremities soft tissue defect, donor site morbidity

scholarly journals Vacuum Sealing Drainage Treatment Combined with Antibiotic-Impregnated Bone Cement for Treatment of Soft Tissue Defects and Infection

2016 ◽  
Vol 22 ◽  
pp. 1959-1965 ◽  
Author(s):  
Xin Liu ◽  
Jiulong Liang ◽  
Jun Zao ◽  
Liangliang Quan ◽  
Xunyuan Jia ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bone Cement ◽  
Soft Tissue Defects ◽  
Vacuum Sealing ◽  
Vacuum Sealing Drainage ◽  
Tissue Defects

scholarly journals Transplantation Treatment of Extensive Soft-Tissue Defects in Lower Extremities with a Combination of Cross-Bridge Flap and Combined Free-Tissue Flap Covered by Vacuum Sealing Drainage: One Case Report

2017 ◽  
Vol 11 (1) ◽  
pp. 704-713
Author(s):  
Xiaohua Pan ◽  
Guangyao Wang ◽  
Tun Hing Lui
Keyword(s):  
Soft Tissue ◽  
Normal Skin ◽  
Soft Tissue Defects ◽  
Vacuum Sealing ◽  
Cross Bridge ◽  
Tissue Flap ◽  
Tissue Flaps ◽  
Free Tissue Flap ◽  
Vacuum Sealing Drainage ◽  
Tissue Defects

This article reported the ultilization of cross-bridge flap transplantation and combined free-tissue flap transplantation to treat a 54-year-old male with Gustilo type III-C injuries. Thorough debridement, external fixation and vacuum sealing drainage were performed in the fist-stage treatment. After the removal of negative pressure on VSD devices, the joined free-tissue flaps and the cross-bridge flap were performed to repair the extensive soft-tissue defects. One month later the pedicle of cross-bridge flap was divided and the external fixator connecting both the lower legs was removed. In 3-month follow-up, the extensive defects was completely covered by a nearly normal skin and radiograph showed tibia and talus healing.

Vacuum sealing drainage with instillation in the treatment of necrotising soft-tissue infection: a retrospective analysis

2020 ◽  
Vol 29 (9) ◽  
pp. 510-517
Author(s):  
Hongjie Duan ◽  
Yanqi He ◽  
Hengbo Zhang ◽  
Fang Wang ◽  
Shuai Chen ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Retrospective Analysis ◽  
Soft Tissue Infection ◽  
Tissue Infection ◽  
Wound Management ◽  
Rapid Progression ◽  
High Morbidity ◽  
Invasive Infection ◽  
Vacuum Sealing ◽  
Vacuum Sealing Drainage

Objective: Necrotising soft-tissue infection is a rare but life-threatening infectious disease with high morbidity and mortality. It is typically caused by toxin-producing bacteria and characterised clinically by a very rapid progression of the disease with significant local tissue destruction. In this study, we intend to explore effective wound management to control the invasive infection and to decrease the high mortality. Method: This retrospective analysis explored the wound management and mortality in patients with necrotising soft-tissue infection. Extensive debridement, vacuum sealing drainage (VSD) with normal saline instillation combined with broad-spectrum or sensitive antibiotics, and supportive therapies were used. Results: All 17 patients included in the analysis survived. The microbiology of 11 patients was found to be polymicrobial. Of the patients, 14 were discharged with completely healed wounds and three were transferred to a local hospital after the systemic and invasive wound infection was controlled. Conclusion: Our experiences revealed the outstanding effect of VSD with instillation in removing the debris of necrotising tissue on the wound bed, in the continual and complete drainage of wound exudates, and in prompting wound healing.

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