RELEVANCE OF THE TUBE FLAP USE IN THE SURGICAL TREATMENT OF PATIENTS WITH WOUNDS AND CICATRICIAL DEFORMITIES OF SKIN

Aim. The aim of our work was to study characteristics and results of surgical treatment of patients with wounds and cicatricial deformities who underwent tube flaps grafting.Materials and methods. The analysis of the treatment of 15 patients aged 9 to 58 was made. All patients were treated in the Bu...

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Main Authors: A. V. POLYAKOV, S. B. BOGDANOV, Y. P. SAVCHENKO, O. M. FOMENKO
Format: Article
Language:Russian
Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 2018-02-01
Series:Кубанский научный медицинский вестник
Subjects:
Online Access:https://ksma.elpub.ru/jour/article/view/1016
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spelling doaj-5af34689d9a24be3833e1d2c26fb4cae2021-07-28T13:14:07ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442018-02-0125111111610.25207/1608-6228-2018-25-1-111-116880RELEVANCE OF THE TUBE FLAP USE IN THE SURGICAL TREATMENT OF PATIENTS WITH WOUNDS AND CICATRICIAL DEFORMITIES OF SKINA. V. POLYAKOV0S. B. BOGDANOV1Y. P. SAVCHENKO2O. M. FOMENKO3Scientific Research Institution – S. V. Ochapovsky Regional Clinical Hospital № 1, Burn Unit; Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation.Scientific Research Institution – S. V. Ochapovsky Regional Clinical Hospital № 1, Burn Unit.Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation, Department of General Surgery.Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation, Department of General Surgery.Aim. The aim of our work was to study characteristics and results of surgical treatment of patients with wounds and cicatricial deformities who underwent tube flaps grafting.Materials and methods. The analysis of the treatment of 15 patients aged 9 to 58 was made. All patients were treated in the Burn Unit of the Scientific Research Institute – S.V. Ochapovsky Regional Clinical Hospital №1 with thermal, electrical and mechanical injuries and their consequences in 2005-2017 years.Results. The average frequency of this method use was 1 time per year. Remoteness of the affected area from the site of tube flap preparation determined the number of migrations and the terms of treatment of patients. With the localization of the recipient zone on the upper extremities, migration of one of the supply legs was immediately combined with partial grafting, and the total number of migrations was two. The duration of treatment of patients from the moment of tube flap preparation to the completion of plastics averaged 134±36 days. In those cases when it was required to move a tube flap prepared on the trunk to the head or lower extremities, there were 3-4 migrations, and the treatment time was 312 to 644 days, on average 481±86 days. The total area of the replaced defect was from 40 to 220 cm2. Out of 15 operated patients, complications occurred in 3 (20%) cases when the tube flap was migrating. At the control examinations during the first year after grafting flap tissues were viable, adapted, without trophic disorders. In term from 1 to 6 years after grafting skin was elastic and well taken into the fold. There were insignificant differences in the pigmentation of displaced flaps from the surrounding tissue. Cicatricial deformities associated with the harvesting, transport of the flap and grafting, were not observed.Conclusion. Tube flap proposed more than one century ago is primarily of historical significance and is rather rare in modern clinical practice, but sometimes it is the optimal method for recovering lost or scarred skin.https://ksma.elpub.ru/jour/article/view/1016skin graftingtube flapwoundscarcicatricial deformitysurgical treatment
collection DOAJ
language Russian
format Article
sources DOAJ
author A. V. POLYAKOV
S. B. BOGDANOV
Y. P. SAVCHENKO
O. M. FOMENKO
spellingShingle A. V. POLYAKOV
S. B. BOGDANOV
Y. P. SAVCHENKO
O. M. FOMENKO
RELEVANCE OF THE TUBE FLAP USE IN THE SURGICAL TREATMENT OF PATIENTS WITH WOUNDS AND CICATRICIAL DEFORMITIES OF SKIN
Кубанский научный медицинский вестник
skin grafting
tube flap
wound
scar
cicatricial deformity
surgical treatment
author_facet A. V. POLYAKOV
S. B. BOGDANOV
Y. P. SAVCHENKO
O. M. FOMENKO
author_sort A. V. POLYAKOV
title RELEVANCE OF THE TUBE FLAP USE IN THE SURGICAL TREATMENT OF PATIENTS WITH WOUNDS AND CICATRICIAL DEFORMITIES OF SKIN
title_short RELEVANCE OF THE TUBE FLAP USE IN THE SURGICAL TREATMENT OF PATIENTS WITH WOUNDS AND CICATRICIAL DEFORMITIES OF SKIN
title_full RELEVANCE OF THE TUBE FLAP USE IN THE SURGICAL TREATMENT OF PATIENTS WITH WOUNDS AND CICATRICIAL DEFORMITIES OF SKIN
title_fullStr RELEVANCE OF THE TUBE FLAP USE IN THE SURGICAL TREATMENT OF PATIENTS WITH WOUNDS AND CICATRICIAL DEFORMITIES OF SKIN
title_full_unstemmed RELEVANCE OF THE TUBE FLAP USE IN THE SURGICAL TREATMENT OF PATIENTS WITH WOUNDS AND CICATRICIAL DEFORMITIES OF SKIN
title_sort relevance of the tube flap use in the surgical treatment of patients with wounds and cicatricial deformities of skin
publisher Ministry of Healthcare of the Russian Federation. “Kuban State Medical University”
series Кубанский научный медицинский вестник
issn 1608-6228
2541-9544
publishDate 2018-02-01
description Aim. The aim of our work was to study characteristics and results of surgical treatment of patients with wounds and cicatricial deformities who underwent tube flaps grafting.Materials and methods. The analysis of the treatment of 15 patients aged 9 to 58 was made. All patients were treated in the Burn Unit of the Scientific Research Institute – S.V. Ochapovsky Regional Clinical Hospital №1 with thermal, electrical and mechanical injuries and their consequences in 2005-2017 years.Results. The average frequency of this method use was 1 time per year. Remoteness of the affected area from the site of tube flap preparation determined the number of migrations and the terms of treatment of patients. With the localization of the recipient zone on the upper extremities, migration of one of the supply legs was immediately combined with partial grafting, and the total number of migrations was two. The duration of treatment of patients from the moment of tube flap preparation to the completion of plastics averaged 134±36 days. In those cases when it was required to move a tube flap prepared on the trunk to the head or lower extremities, there were 3-4 migrations, and the treatment time was 312 to 644 days, on average 481±86 days. The total area of the replaced defect was from 40 to 220 cm2. Out of 15 operated patients, complications occurred in 3 (20%) cases when the tube flap was migrating. At the control examinations during the first year after grafting flap tissues were viable, adapted, without trophic disorders. In term from 1 to 6 years after grafting skin was elastic and well taken into the fold. There were insignificant differences in the pigmentation of displaced flaps from the surrounding tissue. Cicatricial deformities associated with the harvesting, transport of the flap and grafting, were not observed.Conclusion. Tube flap proposed more than one century ago is primarily of historical significance and is rather rare in modern clinical practice, but sometimes it is the optimal method for recovering lost or scarred skin.
topic skin grafting
tube flap
wound
scar
cicatricial deformity
surgical treatment
url https://ksma.elpub.ru/jour/article/view/1016
work_keys_str_mv AT avpolyakov relevanceofthetubeflapuseinthesurgicaltreatmentofpatientswithwoundsandcicatricialdeformitiesofskin
AT sbbogdanov relevanceofthetubeflapuseinthesurgicaltreatmentofpatientswithwoundsandcicatricialdeformitiesofskin
AT ypsavchenko relevanceofthetubeflapuseinthesurgicaltreatmentofpatientswithwoundsandcicatricialdeformitiesofskin
AT omfomenko relevanceofthetubeflapuseinthesurgicaltreatmentofpatientswithwoundsandcicatricialdeformitiesofskin
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