Zhao Jing-Chun, Xian Chun-Jing, Yu Jia-Ao, Shi Kai
Burns and Plastic Reconstruction Unit, the First Hospital of Jilin University, Changchun, China.
Int Wound J. 2015 Feb;12(1):59-62. doi: 10.1111/iwj.12051. Epub 2013 Mar 13.
Successful reconstruction of extensive anterior chest wall defect following major electrical burn represents a very challenging surgery. Herein we report the first case using pedicled full-thickness abdominal flap combined with skin grafting to treat this injury with severe infection and exposure of pericardium and ribs in a Chinese patient. Following the performance of chest debridement to remove necrotic and infected tissues and the injection of broad-spectrum antibiotics to reduce infection, a pedicled full-thickness abdominal flap was used to cover the exposed pericardium and ribs, and skin grafting from the right leg of the patient was done to cover the exposed vital tissues. The patient was followed up for a total of 3·5 years, and satisfactory cosmetic and functional outcomes were obtained without complications. This report provides an effective method for the surgeons who encounter similar cases where reconstruction of extensive anterior chest wall is required.
大面积电烧伤后广泛前胸壁缺损的成功重建是一项极具挑战性的手术。在此，我们报告首例采用带蒂全厚腹部皮瓣联合植皮术治疗一名中国患者的这种伴有严重感染以及心包和肋骨外露损伤的病例。在进行胸部清创以清除坏死和感染组织并注射广谱抗生素以减少感染后，使用带蒂全厚腹部皮瓣覆盖外露的心包和肋骨，并取自患者右腿的皮肤进行植皮以覆盖外露的重要组织。患者总共随访了3.5年，获得了满意的美容和功能效果，且无并发症。本报告为遇到需要重建广泛前胸壁类似病例的外科医生提供了一种有效的方法。
