Non-Microvascular Reconstruction of Lower Extremity Wounds in Samutsakhon Hospital
Keywords:
wound, skin graft, flap, reconstruction, wound coverageAbstract
Objective: The purpose was to review and demonstrate the satisfied outcomes of non-microvascular reconstruction for large wounds at lower limbs.
Methods: This is a retrospective review of cases in Samutsakhon Hospital. The study included cases of non-microvascular surgery which was composed of skin graft and loco-regional flap from July 2018 to April 2020. Age, gender, co-morbidity, cause and site of wound, operative time, post-operative length of stay, and complication were recorded.
Results: Consecutive 114 cases, 79 (69.3%) males and 35 (30.7%) females, were enrolled. Mean age was 42.7 (±19.89) years. There were 71 cases with wound site at lower limbs, 59 (83.1%) cases were closed with skin graft and 12 (16.9%) cases were closed with loco-regional flap. Mean operative time were 29 (±16.58) and 89 (±7.87) minutes, wheras mean post-operative length of stay were 5.6 (±5.37) and 8.2 (±5.38) days in skin graft and loco-regional flap technique respectively.
Conclusion: Non-microvascular reconstruction (skin graft and loco-regional flap) has satisfied outcomes with less operative time and less length of stay, compared with microvascular free tissue transfer. It is an optimal choice for patients who cannot tolerate a long surgery or who need fast recovery
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
