皮肤肿瘤皮瓣手术相关并发症的前瞻性研究：一所三级医疗保健机构的6年经验
Prospective Study of Flap Surgery-Related Complications in Cutaneous Tumors: A Tertiary Care Institutional Experience of 6 Years.
作者信息
Kanathur Shilpa, Divya Gorur, Shanmukhappa Asha Gowrappala, Venkataramaiah Lakshmi Dammaningala, Eswari Loganathan
机构信息
Department of Dermatology, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.
出版信息
J Cutan Aesthet Surg. 2023 Jul-Sep;16(3):192-197. doi: 10.4103/JCAS.JCAS_111_22.
INTRODUCTION
Flap surgeries are the standard choice for reconstruction of defects post excision of cutaneous tumours. Complications following these surgeries predominantly result as a consequence of bleeding, tension, ischemia, infection.
STUDY DESIGN
A Prospective study of patients treated for tumor excision and flap reconstruction between the period of 2014 and 2020 were followed up and complications encountered were analysed.
RESULTS
A total of 70 patients with cutaneous malignancies underwent flap surgeries. Complications encountered were bleeding, hematoma, infection, necrosis, pincushioning, keloid, hypertrophic scars.
CONCLUSION
Successful outcome depends on pre operative evaluation, appropriate technique selection based on site of tumor, intraoperative care, post operative care and timely management of complications if any.
引言
皮瓣手术是皮肤肿瘤切除术后缺损重建的标准选择。这些手术后的并发症主要是由出血、张力、缺血、感染引起的。
研究设计
对2014年至2020年期间接受肿瘤切除和皮瓣重建治疗的患者进行前瞻性研究，并对所遇到的并发症进行分析。
结果
共有70例皮肤恶性肿瘤患者接受了皮瓣手术。所遇到的并发症有出血、血肿、感染、坏死、针垫样隆起、瘢痕疙瘩、增生性瘢痕。
结论
成功的结果取决于术前评估、根据肿瘤部位选择合适的技术、术中护理、术后护理以及对任何并发症的及时处理。
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