nyenaceyg
Dołączył: 13 Gru 2010
Posty: 522
Przeczytał: 0 tematów
Ostrzeżeń: 0/5
Skąd: England
|
 Wysłany: Nie 14:52, 06 Mar 2011 Temat postu: Skin and soft tissue expansion complications and t |
 |
|
Skin and soft tissue expansion complications and their prevention
theincidenceofthrombosisfollowinglivertransplantation [J】. AnnItalChir, 2001,72 (3) :303-314. [7] AbouEllaKA, A1SebayelMI, RanairezCB, eta1. Hepaticarterythrombosisafterorthotopiclivertransplantation [J]. SaudiMedJ, 2001,22 (3): 211.214. [Article ID】 1009-2188 (2005) 02-0105-01 skin and soft tissue expansion complications and their prevention Yang Anfang [Key words] expansion; [Key Words】 R622 skin; soft tissue [Document code】 B I Bureau since August 1998 so far, a total line of skin and soft tissue expansion in 189 cases, complications occurred during the expansion l8 cases (9.5%), now its causes and prevention of the following. 1 l8 complications in patients with clinical data. Male l0 cases. 8 females, aged 5 to 46 years, mean (21.2 ± 14.6) years. Expansion of areas: the head in 3 cases, 8 cases of facial and neck in 4 cases, 3 cases of upper arm. Are the use of domestic dilator (Guangdong million and medical device company), dilator capacity of 80 ~ 600ml. Of these, hematoma in 5 cases, 3 cases of infection, allergic dermatitis 3 cases, 5 cases of depression, the expansion area, the expansion flaps flap distal blood flow obstacle 2 cases. 2 to discuss a total of 2.1 hematoma in 5 cases. 3 cases of surgery there that night, and the other 2 patients occurred after the first 1,3 d. Are the head, face and neck skin expansion,[link widoczny dla zalogowanych], expressed as the surgical swelling, was stiff, skin bruising, and drainage tubes have a new blood flow. Analysis of the reasons: the head, face and neck rich blood supply, from the cosmetic results can not be considered too long incision, and the separation of large cavities, the cavity [Received】 2005 a O3-17 [Revised】 2005-04 a l2 [Author】 Yang Anfang,[link widoczny dla zalogowanych], female, aged 34, Second Xiangya Hospital, Central South University, Burns and Plastic Surgery. Bleeding problems in Changsha 410011, China; embedded in the dilator strip cavities operating blind, small bleeding is difficult to avoid; buried in some parts of the expansion device can not be bandaged after; with adrenaline in local administration, intraoperative blood vessels contraction,[link widoczny dla zalogowanych], but after vasodilation; face and neck braking difficulties, chewing, swallowing the dilator friction caused bleeding wounds. Thorough intraoperative bleeding, less or no epinephrine; after maintaining unobstructed drainage, proper dressing braking measures to prevent hematoma formation. Enhanced care, including early observation of the wound bleeding; timely drainage,[link widoczny dla zalogowanych], observation of drainage and drainage tube is blocked; monitoring for early detection of vital signs such as hematoma. Hematoma formation may be appropriate to have stitches removed, stretched out a blood clot the wound, such as blood clots or more can not be completely out of active bleeding, you need surgery to stop bleeding. Hematoma of the 5 cases, 3 cases of active bleeding can not control. Operation to remove the expansion, re-implantation bleeding continued injection expansion; 2 cases of blood clots after distraction out of the wound, re-placed drainage tube continued to drain, pressure bandage to stop bleeding, and bleeding stopped after 1 week to water. The timely processing, shall not affect the outcome. 2.2 A total of 3 cases of infection, after 1 week after surgery for patients with external injection port expander, both exogenous infection. Treatment: ① to strengthen local skin care, maintenance of clinical meta-clean and dry; ② when strict aseptic injection; ③ suitable vacuum extraction liquid; ④ thin catheter into the cavity expansion solution or metronidazole injection of gentamicin , flush 1 or 2 times a day; ⑤ sensitive intravenous antibiotics. 3 patients in the 7 ~ 10d after infection control continues to expand. 2.3 A total of 3 cases of allergic dermatitis, manifested as unexplained 3-4d after the wound is a yellowish serum-like exudate material for the expander due to allergies. Treatment: ① discovered in time to skin care, maintenance of local skin clean and dry; ② suspension of water; ③ oral allergy. Following the above treatment, significantly reduced the wound exudate, can continue to expand. 2.4 The expansion of part of a total of 5 cases of depression, to remove the expander facial depression after the expansion site. Reasons: ① organization is expanding into the surrounding area; ② expansion Organization thinning. More than 3 months after surgery to restore their own. Should strengthen the psychological care of patients,[link widoczny dla zalogowanych], improve patient satisfaction with surgery. 2.5 Expansion of distant flap blood flow obstacle 2 cases were female, reason: ① flap relative to expand; ② distal tension is too large. Treatment: removal of necrotic tissue. Direct suture or full-thickness skin explants.
Post został pochwalony 0 razy
|
|
