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组织瓣并发症的预防与处理

Prevention and Management of Complications of Tissue Flaps.

作者信息

Miller Travis J, Lavin Christopher V, Momeni Arash, Wan Derrick C

机构信息

Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, 770 Welch Road, Suite 400, Stanford, CA 94305, USA.

Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, 257 Campus Drive West, Stanford, CA 94305, USA.

出版信息

Surg Clin North Am. 2021 Oct;101(5):813-829. doi: 10.1016/j.suc.2021.06.009. Epub 2021 Aug 7.

DOI:10.1016/j.suc.2021.06.009
PMID:34537145
Abstract

In this article, we discuss 4 common free flaps performed in reconstructive surgery: the anterolateral thigh flap, the radial forearm flap, the fibula flap, and the transverse rectus abdominis myocutaneous/deep inferior epigastric perforator flap. Donor and recipient complications for each flap type and strategies on how to prevent and manage such complications are discussed.

摘要

在本文中,我们讨论了重建手术中常用的4种游离皮瓣:股前外侧皮瓣、桡骨前臂皮瓣、腓骨皮瓣和腹直肌肌皮瓣/腹壁下动脉穿支皮瓣。讨论了每种皮瓣类型的供区和受区并发症以及预防和处理此类并发症的策略。

相似文献

1
Prevention and Management of Complications of Tissue Flaps.组织瓣并发症的预防与处理
Surg Clin North Am. 2021 Oct;101(5):813-829. doi: 10.1016/j.suc.2021.06.009. Epub 2021 Aug 7.
2
Combined anterolateral thigh flap and vascularized fibula osteoseptocutaneous flap in reconstruction of extensive composite mandibular defects.股前外侧皮瓣联合带血管蒂腓骨骨皮瓣修复下颌骨大面积复合缺损
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Effects of Obesity on Postoperative Complications After Breast Reconstruction Using Free Muscle-Sparing Transverse Rectus Abdominis Myocutaneous, Deep Inferior Epigastric Perforator, and Superficial Inferior Epigastric Artery Flap: A Systematic Review and Meta-analysis.肥胖对采用保留肌肉的腹直肌肌皮瓣、腹壁下深动脉穿支皮瓣和腹壁下浅动脉皮瓣进行乳房重建术后并发症的影响:一项系统评价和Meta分析
Ann Plast Surg. 2016 May;76(5):576-84. doi: 10.1097/SAP.0000000000000400.
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Free flap breast reconstruction: the LSU experience (1984-1996).游离皮瓣乳房重建术:路易斯安那州立大学的经验(1984 - 1996年)
J La State Med Soc. 1997 Oct;149(10):388-92.
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Free flaps in surgical dermatology. Comparison between fasciocutaneous and myocutaneous free flaps in facial reconstructions.外科皮肤病学中的游离皮瓣。面部重建中筋膜皮瓣和肌皮瓣的比较。
An Bras Dermatol. 2011 Nov-Dec;86(6):1145-50. doi: 10.1590/s0365-05962011000600013.
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Free transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flaps for breast reconstruction: a systematic review of flap complication rates and donor-site morbidity.用于乳房重建的游离腹直肌肌皮瓣和腹壁下深动脉穿支皮瓣:皮瓣并发症发生率和供区并发症的系统评价
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Fat necrosis in free transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flaps.游离腹直肌肌皮瓣和腹壁下深动脉穿支皮瓣中的脂肪坏死
Plast Reconstr Surg. 2000 Sep;106(3):576-83. doi: 10.1097/00006534-200009030-00008.
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Complications after reconstruction by plate and soft-tissue free flap in composite mandibular defects and secondary salvage reconstruction with osteocutaneous flap.下颌骨复合缺损采用钢板及游离软组织瓣重建后的并发症及带骨皮瓣的二期挽救性重建
Plast Reconstr Surg. 2003 Jul;112(1):37-42. doi: 10.1097/01.PRS.0000065911.00623.BD.
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Comparison Of Microvascular Free Tissue Transfer In Adult And Paediatric Patients.
J Ayub Med Coll Abbottabad. 2019 Apr-Jun;31(2):156-161.
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Are there risk factors for complications of perforator-based propeller flaps for lower-extremity reconstruction?穿支皮瓣在下肢重建中出现并发症的风险因素有哪些?
Clin Orthop Relat Res. 2014 Jul;472(7):2276-86. doi: 10.1007/s11999-014-3537-6. Epub 2014 Apr 5.

引用本文的文献

1
Dovetailing skin incision design of radial forearm free flap for forearm wound closure and maxillofacial reconstruction.用于前臂伤口闭合和颌面重建的桡侧前臂游离皮瓣的燕尾形皮肤切口设计。
Heliyon. 2024 Jul 14;10(14):e34613. doi: 10.1016/j.heliyon.2024.e34613. eCollection 2024 Jul 30.
2
[Clinical effect of modified vertical rectus abdominis myocutaneous flap in repairing skin and soft tissue defects after abdominoperineal resection for rectal cancer].改良垂直腹直肌肌皮瓣修复直肠癌腹会阴联合切除术后皮肤软组织缺损的临床疗效
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2024 Jan 20;40(1):57-63. doi: 10.3760/cma.j.cn501225-20231030-00156.
3
Topical vanadate improves tensile strength and alters collagen organisation of excisional wounds in a mouse model.
局部应用的钒酸盐可提高小鼠模型中切口创面的拉伸强度并改变胶原组织。
Wound Repair Regen. 2023 Jan;31(1):77-86. doi: 10.1111/wrr.13062. Epub 2022 Dec 14.