Do Annie, Davis Matthew J, Abu-Ghname Amjed, Winocour Sebastian J, Reece Edward M, Holmes Scott, Xu David S, Ropper Alexander E, Hansen Scott L
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco, California.
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Semin Plast Surg. 2021 Feb;35(1):3-9. doi: 10.1055/s-0041-1722852. Epub 2021 May 10.
Wound complications occur in up to 19% of patients undergoing complex spine surgery. The role of the plastic surgeon in complex and redo spine surgery is important and evolving. Classically, plastic surgeons have been involved in the management of patients who develop wound complications following surgery. This involves reconstruction of posterior trunk defects with locoregional fasciocutaneous, muscle, and free tissue transfers. There has also been an increasing role for plastic surgeons to become involved in prophylactic closures of complex and/or redo spine surgeries for high-risk populations. Identification of patients with comorbidities and likelihood for multiple reoperations who are prophylactically treated with complex closure with or without local muscle flaps could significantly decrease the postoperative wound complications.
在接受复杂脊柱手术的患者中，伤口并发症的发生率高达19%。整形外科医生在复杂脊柱翻修手术中的作用至关重要且不断发展。传统上，整形外科医生一直参与手术后出现伤口并发症患者的管理。这包括使用局部筋膜皮瓣、肌肉瓣和游离组织移植修复后躯干缺损。整形外科医生在为高风险人群进行复杂脊柱手术和/或翻修手术的预防性缝合方面所起的作用也越来越大。识别患有合并症且可能需要多次再次手术的患者，对其进行使用或不使用局部肌瓣的复杂缝合预防性治疗，可显著降低术后伤口并发症的发生率。
