Experience on 26 Cases with the Repair of Deep Wound of Electric Injury in Limbs
Wei-chao Rong
Abstract
Wei-chao Rong
Abstract
Objective: To explore the best operative ways on the treatment of different period in deep wound of electric injury in limbs.Method: 26 cases and 31 limbs' deep wounds of electric injuries were flexibly adopted the repairs in differently operative ways according to different periods in nearly 10 years,such as island skin flap、pedicled skin flap of axes、free skin flap、random skin flap and skin transplanting,the author compared operative ways and observed treatment effects.Result: 26 cases and 31 limbs' deep wounds of electric injuries were cured,the effects were satisfactory,except that 2 cases' free skin flap growths were ineffective,who needed Ⅱstage operation and they missed early treatment and after simply skin grafting in granulation,the functions restored worse.Conclusion: After electric injury,early debridement should be strived for,Ι stage closed wound surface,pedicled skin flap of axes(island or pedicle) should be firstly chosen,the second was random skin flap,the free skin flap was only cautiously considered because above 2 repairs could not be used,missing early repair or relatively washy wound surface could consider skin grafting.
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Objective: To explore the best operative ways on the treatment of different period in deep wound of electric injury in limbs.Method: 26 cases and 31 limbs' deep wounds of electric injuries were flexibly adopted the repairs in differently operative ways according to different periods in nearly 10 years,such as island skin flap、pedicled skin flap of axes、free skin flap、random skin flap and skin transplanting,the author compared operative ways and observed treatment effects.Result: 26 cases and 31 limbs' deep wounds of electric injuries were cured,the effects were satisfactory,except that 2 cases' free skin flap growths were ineffective,who needed Ⅱstage operation and they missed early treatment and after simply skin grafting in granulation,the functions restored worse.Conclusion: After electric injury,early debridement should be strived for,Ι stage closed wound surface,pedicled skin flap of axes(island or pedicle) should be firstly chosen,the second was random skin flap,the free skin flap was only cautiously considered because above 2 repairs could not be used,missing early repair or relatively washy wound surface could consider skin grafting.
Key concepts: Medicine, Surgery, Skin grafting, Skin flap, Debridement (dental), Granulation tissue, Artificial skin, Wound healing