Kapidzić A, Busić I, Milutinović S, Banjin S
Klinika za bolesti uha, nosa i grla, Klinicki centar Sarajevo.
Med Arh. 1994;48(3):113-5.
The paper analyzed our experiences with repairing the skin defects in 120 wounded patients in the first war year. After primarily surgical observations patients were hospitalized in the ORL clinic for a further care. Most of wounds were by artillery projectiles. Extensivity, intensivity and primary contamination are three characteristics of war wounds that makes problems in definitely repairing of defects. This is because of the secondary repair 67.80% defects. Spontaneous reepithelization is noticed in 14.80% defects. By direct sutures we closed 16.00%, free skin tissues grafts 23.26%, used various techniques of rotation and transposition flaps 46.52% defects. Correct plastic reconstructive planning and active physical-chemical preoperative treatment eliminated big postoperative complications.
该论文分析了我们在战争第一年对120名受伤患者进行皮肤缺损修复的经验。经过初步手术观察后，患者被收治到耳鼻喉科诊所接受进一步治疗。大多数伤口是由炮弹造成的。广泛性、严重性和原发性污染是战争伤口的三个特征，这使得在明确修复缺损方面存在问题。这就是为什么67.80%的缺损进行了二期修复。14.80%的缺损出现了自发再上皮化。通过直接缝合我们闭合了16.00%的缺损，采用游离皮肤组织移植闭合了23.26%的缺损，运用各种旋转和移位皮瓣技术闭合了46.52%的缺损。正确的整形重建规划和积极的术前物理化学治疗消除了严重的术后并发症。
