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战争创伤的重建挑战。

Reconstructive challenges in war wounds.

作者信息

Bhandari Prem Singh, Maurya Sanjay, Mukherjee Mrinal Kanti

机构信息

Department of Plastic Surgery, Army Hospital (R and R), New Delhi, India.

出版信息

Indian J Plast Surg. 2012 May;45(2):332-9. doi: 10.4103/0970-0358.101316.

DOI:10.4103/0970-0358.101316
PMID:23162233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3495384/
Abstract

War wounds are devastating with extensive soft tissue and osseous destruction and heavy contamination. War casualties generally reach the reconstructive surgery centre after a delayed period due to additional injuries to the vital organs. This delay in their transfer to a tertiary care centre is responsible for progressive deterioration in wound conditions. In the prevailing circumstances, a majority of war wounds undergo delayed reconstruction, after a series of debridements. In the recent military conflicts, hydrosurgery jet debridement and negative pressure wound therapy have been successfully used in the preparation of war wounds. In war injuries, due to a heavy casualty load, a faster and reliable method of reconstruction is aimed at. Pedicle flaps in extremities provide rapid and reliable cover in extremity wounds. Large complex defects can be reconstructed using microvascular free flaps in a single stage. This article highlights the peculiarities and the challenges encountered in the reconstruction of these ghastly wounds.

摘要

战伤具有毁灭性，伴有广泛的软组织和骨质破坏以及严重污染。由于重要器官受到额外损伤，战争伤员通常在经过一段时间的延迟后才会抵达重建外科中心。他们转送至三级护理中心的这种延迟导致伤口状况逐渐恶化。在当前情况下，大多数战伤在经过一系列清创后才进行延迟重建。在最近的军事冲突中，水刀清创术和负压伤口治疗已成功用于战伤的处理。在战争创伤中，由于伤亡人数众多，旨在寻求一种更快且可靠的重建方法。肢体带蒂皮瓣可为肢体伤口提供快速可靠的覆盖。大型复杂缺损可通过微血管游离皮瓣一次性重建。本文重点介绍了这些可怕伤口重建过程中所面临的特殊性和挑战。

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