Closure of extensive infected wounds: 15-year experience
Abstract
The treatment of extensive infected wounds is a serious problem for reconstructive surgery.
We discuss the experience of recostructions performed in the Department of reconstructive surgery of Petrovsky National Research Center of Surgery (Moscow) from January 1999 to December
2013. 264 patients with infected wounds were operated within 15 years. They included 180 men
(mean age 35.8), 84 women (mean age 41.2). 3 groups of patient was formed in relation to etiology: post-traumatic defects (n=188, 71.1%), neuro-angiotrophic wounds (n=31, 11.7%) and iatrogenic wounds (n=45, 17.2%). Localization of infected wounds: head and neck 10.34%(n=27),
upper limb 18.6% (n=49), chest 9% (n=24), pelvis 10.34% (n=27), lower limb 51.72% (n=137).
Free vascularized flaps reconstruction was performed in 145 cases (55%), plastic with local tissues – in 50 cases (18.9%), free split cutaneous flaps – in 69 cases (26.1%). In the majority
of cases (95.8%, n=253) good and satisfactory results were achieved.
Keywords:infected wound, extensive defect, soft tissue defect, reconstructive surgery, microsurgery, free vascularized flap, plastic with local tissues, split cutaneous flap
Clin. Experiment. Surg. Petrovsky J. 2017; 5 (4): 59–64.
DOI: 10.24411/2308-1198-2017-00008
Received: 20.09.2017. Accepted: 10.10.2017.
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