Cao Zilong, Zhang Fan, Liu Xujin, Zhang Min, Ma Yuntao
Cao Zilong is resident surgeon, Department of Plastic and Burn Surgery, Qilu Hospital of Shandong University, Jinan, China, and MD candidate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing.; Fan Zhang, PhD, is Associate Professor, Department of Burn and Plastic Surgery, Qilu Hospital of Shandong University.; Xujin Liu, MM, is Attending Surgeon, Department of Hepatology Qilu Hospital of Shandong University. Min Zhang, MB, is Resident, Qihe People's Hospital, Dezhou. Yuntao Ma, MB, is an intern Second Clinical Hospital of Lanzhou University, Lanzhou. Acknowledgment: The present study was supported by grants from the Key Research and Development Program of Shandong Province (no. 2017GSF218048). The authors have disclosed no other financial relationships related to this article. Submitted October 16, 2019; accepted in revised form December 10, 2019.
Adv Skin Wound Care. 2020 Nov;33(11):1-5. doi: 10.1097/01.ASW.0000717224.62688.fa.
To explore the treatment of superficial incision dehiscence after abdominal surgery by Z-plasty combined with negative-pressure wound therapy.
A retrospective study was performed on seven patients with superficial abdominal incision dehiscence from October 2018 to February 2019. All patients were given systemic antibiotics and nutrition support. During the first stage, surgical debridement with negative-pressure wound therapy was performed. Local Z-plasty was performed in the second stage.
The incision healed well in all patients, and no infection or necrosis occurred in the flaps. During the follow-up of 7.3 months (range, 5-10 months), no incision rupture or redehiscence occurred.
Surgical debridement, negative-pressure wound therapy, and Z-plasty can be used to treat superficial abdominal incision dehiscence and achieve good therapeutic effect and prognosis. Z-plasty can be used as an alternative to direct suture of incisions because of its simplicity and excellent results.
探讨Z成形术联合负压伤口治疗法对腹部手术后切口浅层裂开的治疗效果。
对2018年10月至2019年2月期间7例腹部切口浅层裂开患者进行回顾性研究。所有患者均给予全身抗生素治疗及营养支持。第一阶段，采用负压伤口治疗法进行手术清创。第二阶段行局部Z成形术。
所有患者切口愈合良好，皮瓣无感染或坏死。在7.3个月（范围5 - 10个月）的随访期间，未发生切口裂开或再裂开。
手术清创、负压伤口治疗法及Z成形术可用于治疗腹部切口浅层裂开，取得良好的治疗效果及预后。Z成形术因其操作简单、效果良好，可作为切口直接缝合的替代方法。
