Bejinariu Catalin Gheorghe, Marinescu Silviu Adrian
Department of Plastic and Reconstructive Surgery, "Bagdasar-Arseni" Emergency Clinical Hospital, Bucharest, Romania.
J Med Life. 2019 Oct-Dec;12(4):453-456. doi: 10.25122/jml-2019-0104.
The current research aims to present the therapeutic approach in the case of a paraplegic patient hospitalized in the Plastic Surgery Department at the "Bagdasar-Arseni" Emergency Clinical Hospital for the treatment of decubitus ulcers located at the level of the sacral, left trochanteric and posterior thoracic regions. The particularity of the case is given by the complexity of the surgical interventions necessary for the reconstruction of the above-mentioned anatomical regions. In order to cover the sacral region, two gluteal myocutaneous flaps were used, followed by a tensor fascia lata flap for the trochanteric lesion. For the thoracic defect, the surgical team has chosen the technique of excision and direct suture. Following reconstructive surgery, the patient had a favorable local evolution, being included in an intensive medical recovery program within the same health unit.
当前的研究旨在介绍一名截瘫患者的治疗方法，该患者在“巴格达萨尔 - 阿尔塞尼”急诊临床医院整形外科住院，接受骶部、左转子区和胸后部褥疮溃疡的治疗。该病例的特殊性在于上述解剖区域重建所需手术干预的复杂性。为了覆盖骶部区域，使用了两块臀大肌肌皮瓣，随后为转子区病变使用了阔筋膜张肌皮瓣。对于胸部缺损，手术团队选择了切除并直接缝合的技术。重建手术后，患者局部病情进展良好，被纳入同一医疗机构的强化医疗康复计划。
