Application of vascularized perforant flaps in the hand restoration in electro-thermic affections

Objective. To improve the results of surgical treatment in patients with deep electric burns of the hand, using local vascularized flaps, based on perforant vessels. Materials and methods. Analysis of the treatment results in 17 patients, suffering electric trauma of the hand was conducted, the d...

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Main Authors: A. O. Zhernov, O. M. Kovalenko, O. A. Zhernov
Format: Article
Language:Russian
Published: Liga-Inform ltd. 2020-12-01
Series:Клінічна хірургія
Subjects:
Online Access:https://hirurgiya.com.ua/index.php/journal/article/view/886
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author A. O. Zhernov
O. M. Kovalenko
O. A. Zhernov
author_facet A. O. Zhernov
O. M. Kovalenko
O. A. Zhernov
author_sort A. O. Zhernov
collection DOAJ
description Objective. To improve the results of surgical treatment in patients with deep electric burns of the hand, using local vascularized flaps, based on perforant vessels. Materials and methods. Analysis of the treatment results in 17 patients, suffering electric trauma of the hand was conducted, the defects plasty was performed, using local vascularized flaps, based on perforant vessels of the hand. Results. In 17 patients 20 flaps were formed. Application of revascularization procedures have permitted to obtain good results in immediate period in 76.5% patients, and satisfactory - in 13.5% patients, in late follow-up period good results - in 88.2% patients, and satisfactory - in 11.8% patients. Conclusion. The transplant, owing own blood circulation and locally vascularized flaps, based on perforant vessels, which are formed on non-injured parts of the hand, guarantee the blood supply restoration in the zone of electric thermic affection as well as the wound defect closing.
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spelling doaj.art-d6d5d68aab714a3fb8d5f4cbf3d5de102023-04-25T13:54:16ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962020-12-018711-12717510.26779/2522-1396.2020.11-12.71886Application of vascularized perforant flaps in the hand restoration in electro-thermic affectionsA. O. Zhernov0O. M. Kovalenko1O. A. Zhernov2Kyiv’s Municipal Clinical Hospital No 2Bogomolets National Medical University, KyivShupik National Medical Academy of Postgraduate Education, KyivObjective. To improve the results of surgical treatment in patients with deep electric burns of the hand, using local vascularized flaps, based on perforant vessels. Materials and methods. Analysis of the treatment results in 17 patients, suffering electric trauma of the hand was conducted, the defects plasty was performed, using local vascularized flaps, based on perforant vessels of the hand. Results. In 17 patients 20 flaps were formed. Application of revascularization procedures have permitted to obtain good results in immediate period in 76.5% patients, and satisfactory - in 13.5% patients, in late follow-up period good results - in 88.2% patients, and satisfactory - in 11.8% patients. Conclusion. The transplant, owing own blood circulation and locally vascularized flaps, based on perforant vessels, which are formed on non-injured parts of the hand, guarantee the blood supply restoration in the zone of electric thermic affection as well as the wound defect closing.https://hirurgiya.com.ua/index.php/journal/article/view/886electric burns of the hand; perforant insular flaps of the hand.
spellingShingle A. O. Zhernov
O. M. Kovalenko
O. A. Zhernov
Application of vascularized perforant flaps in the hand restoration in electro-thermic affections
Клінічна хірургія
electric burns of the hand; perforant insular flaps of the hand.
title Application of vascularized perforant flaps in the hand restoration in electro-thermic affections
title_full Application of vascularized perforant flaps in the hand restoration in electro-thermic affections
title_fullStr Application of vascularized perforant flaps in the hand restoration in electro-thermic affections
title_full_unstemmed Application of vascularized perforant flaps in the hand restoration in electro-thermic affections
title_short Application of vascularized perforant flaps in the hand restoration in electro-thermic affections
title_sort application of vascularized perforant flaps in the hand restoration in electro thermic affections
topic electric burns of the hand; perforant insular flaps of the hand.
url https://hirurgiya.com.ua/index.php/journal/article/view/886
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AT oazhernov applicationofvascularizedperforantflapsinthehandrestorationinelectrothermicaffections