In contrast to open degloving injury, extensive closed internal degloving injury (CIDI) is rare, especialy followed by deep injury with bone-articular and neurovascular complications after initial trauma.1-3 Clinicall...In contrast to open degloving injury, extensive closed internal degloving injury (CIDI) is rare, especialy followed by deep injury with bone-articular and neurovascular complications after initial trauma.1-3 Clinically, it 05- be misdiagnosed or mismanaged leading to delayed full-thickness necrosis of the avulsed skin flap and development of wound sepsis, 3 even limbs disability.4 A number of reports have advocated several means for treatment of CIDI1,3,5,6 but they are not ideal.1,6,7 Since 1987 we have treated 132 degloving injuries, 18 (13.6%) of whom were CIDI in the peripelvis and lower limbs. According to the severity of CIDI, it has been managed by replantation of defatted full-thickness degloved skin with refined techniques as salvage procedures for the avulsed skin, and defect coverage with several myocutaneous flaps for denuded wound of specialized areas. Our purpose is to stress the importance of simultaneous management of both CIDI and deep injury and proper options of resurface procedures to provide better appearance and function of limbs.展开更多
Objective：To summarize our experience in surgical treatment of traumatic lower limb pseudoaneurysm.Methods：Twenty patients with traumatic lower limb pseudoaneurysm were surgically treated in our department from Janu...Objective：To summarize our experience in surgical treatment of traumatic lower limb pseudoaneurysm.Methods：Twenty patients with traumatic lower limb pseudoaneurysm were surgically treated in our department from January 2007 to January 2012.The treatment protocols included interventional covered-stent placement （10 cases）,spring coil embolization （2 cases）,and surgical operation （8 cases）.Surgical operations included pseudoaneurysm repair （2 cases）,autologousvein transplantation （1 case）,and artificial-vessel bypass graft （5 cases）.Results：All the patients were successfully treated without aggravating lower limb ischemia.Pseudoaneurysm disappeared after treatment.A surgical operation is suitable to most pseudoaneurysms,but its damage is relatively obvious and usually leads to more bleeding.It also requires a longer operating time.Compared to a surgical operation,interventional therapy is less traumatic and patients usually have a quicker recovery （P＜0.05）.All patients were followed up once per month for 12-36 months by color Doppler ultrasound examination.There were no cases of pseudoaneurysm recurrence.Conclusion：Both surgical operation and interventional therapy are safe and effective in the treatment of pseudoaneurysm.展开更多
文摘In contrast to open degloving injury, extensive closed internal degloving injury (CIDI) is rare, especialy followed by deep injury with bone-articular and neurovascular complications after initial trauma.1-3 Clinically, it 05- be misdiagnosed or mismanaged leading to delayed full-thickness necrosis of the avulsed skin flap and development of wound sepsis, 3 even limbs disability.4 A number of reports have advocated several means for treatment of CIDI1,3,5,6 but they are not ideal.1,6,7 Since 1987 we have treated 132 degloving injuries, 18 (13.6%) of whom were CIDI in the peripelvis and lower limbs. According to the severity of CIDI, it has been managed by replantation of defatted full-thickness degloved skin with refined techniques as salvage procedures for the avulsed skin, and defect coverage with several myocutaneous flaps for denuded wound of specialized areas. Our purpose is to stress the importance of simultaneous management of both CIDI and deep injury and proper options of resurface procedures to provide better appearance and function of limbs.
文摘Objective：To summarize our experience in surgical treatment of traumatic lower limb pseudoaneurysm.Methods：Twenty patients with traumatic lower limb pseudoaneurysm were surgically treated in our department from January 2007 to January 2012.The treatment protocols included interventional covered-stent placement （10 cases）,spring coil embolization （2 cases）,and surgical operation （8 cases）.Surgical operations included pseudoaneurysm repair （2 cases）,autologousvein transplantation （1 case）,and artificial-vessel bypass graft （5 cases）.Results：All the patients were successfully treated without aggravating lower limb ischemia.Pseudoaneurysm disappeared after treatment.A surgical operation is suitable to most pseudoaneurysms,but its damage is relatively obvious and usually leads to more bleeding.It also requires a longer operating time.Compared to a surgical operation,interventional therapy is less traumatic and patients usually have a quicker recovery （P＜0.05）.All patients were followed up once per month for 12-36 months by color Doppler ultrasound examination.There were no cases of pseudoaneurysm recurrence.Conclusion：Both surgical operation and interventional therapy are safe and effective in the treatment of pseudoaneurysm.
