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皮瓣手术及再植术后并发症的处理

Management of complications with flap procedures and replantation.

作者信息

Sammer Douglas M

机构信息

Department of Plastic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390, USA.

出版信息

Hand Clin. 2015 May;31(2):339-44. doi: 10.1016/j.hcl.2015.01.008. Epub 2015 Feb 28.

Abstract

Replantation and flap procedures employ microvascular techniques to salvage or reconstruct a severely damaged limb or digit. The most devastating complications include complete or partial flap loss, or replantation failure due to vascular complications. Often, these complications can be prevented by appropriate patient selection, careful surgical planning, meticulous technique, and proper postoperative management. This article discusses complications related to replantation and flap procedures in the upper limb, focusing on preventing and managing these complications.

摘要

再植术和皮瓣手术采用微血管技术来挽救或重建严重受损的肢体或手指。最具毁灭性的并发症包括皮瓣完全或部分坏死,或因血管并发症导致再植失败。通常,通过恰当的患者选择、精心的手术规划、细致的技术操作及合理的术后管理,这些并发症是可以预防的。本文讨论上肢再植术和皮瓣手术相关的并发症,重点关注这些并发症的预防和处理。

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