Chiricuţă I
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1978 May-Jun;27(3):187-97.
The techinque using epiloon tissue in hand surgery was introduced by the author in 1974. The efficiency of the method was checked in several cases of radionecrosis of the hand, deep burns with complete destruction of the tissues on the back of the hand, severe trauma with tearing of the teguments and uncovering of the bones. Epiploonoplasty of the hand achieves a massive transfer of thick epiplooic tissue which is well vascularized, rapidly integrated in the circulatory system of the hand. An extensive description of the surgical technique is presented. A case of severe trauma with amputation of the thumb and of three other fingers of the right hand is further described. The thumb was repaired with a fragment of rib covered with epiplooic tissue exteriorized from the abdominal cavity through laparotomy. The epiplooic pedicle was sectioned after 35 days, and grafting was continued with free dermo-epidermal flaps. The functional result obtained was excellent. The author also presents his experience with a hand prosthesis made of metal and acrylate, which, after being joined to the bones of the forearm and connected with flexor and extensor muscular groups, was completely covered with a thick layer of epiplooic tissue and grafted with skin. A mechanical hand can be achieved with the aid of epiploonoplasty.
1974年作者介绍了在手外科中使用大网膜组织的技术。在几例手部放射性坏死、手背组织完全破坏的深度烧伤、伴有皮肤撕裂和骨骼外露的严重创伤病例中检查了该方法的有效性。手部大网膜成形术实现了大量血管丰富的厚大网膜组织的转移，该组织能迅速融入手部的循环系统。文中对手术技术进行了详细描述。进一步描述了一例右手拇指及其他三根手指被截断的严重创伤病例。拇指用一块覆盖有大网膜组织的肋骨碎片修复，该大网膜组织通过剖腹术从腹腔引出。35天后切断大网膜蒂，继续用游离真皮-表皮瓣进行移植。获得的功能结果极佳。作者还介绍了他使用由金属和丙烯酸酯制成的手部假体的经验，该假体与前臂骨骼连接并与屈肌和伸肌肌群相连后，完全被一层厚厚的大网膜组织覆盖并进行皮肤移植。借助大网膜成形术可制成机械手。
