Pshenisnov K P, Minachenko V K
Klin Khir (1962). 1991(10):49-52.
The variants of operative tactics and technique of early microsurgical autoplasty of the extensive crushed and scalped wounds of the digits and hand in 15 patients are presented. Three main groups of the sufferers were distinguished: with scalping of the I digit, with crushing of the digits and a skin defect of the butt-end of a hand stump, with totally scalped wounds of the hand and low third of the forearm. The advantages of the use of reversed flaps of the forearm with suture of a sensory nerve in limited defects, and free transplant of the greater omentum in extensive wounds are shown.
介绍了15例手指和手部广泛挤压撕脱伤早期显微外科自体成形术的手术策略和技术变体。区分出三组主要患者:示指撕脱伤患者、手指挤压伤伴手残端末端皮肤缺损患者、手部及前臂下三分之一完全撕脱伤患者。展示了在有限缺损中使用带感觉神经缝合的前臂逆行皮瓣以及在广泛伤口中使用大网膜游离移植的优势。