The use of skin flaps in reconstructive surgery is the first-line surgical treatment for the reconstruction of skin defects and is essentially considered the starting point of plastic surgery. Despite their excellent ...The use of skin flaps in reconstructive surgery is the first-line surgical treatment for the reconstruction of skin defects and is essentially considered the starting point of plastic surgery. Despite their excellent usability, their application includes general surgical risks or possible complications, the primary and most common is necrosis of the flap. To improve flap survival, researchers have used different methods, including the use of adiposederived stem cells, with significant positive results. In our research we will report the use of adipose-derived stem cells in pedicle skin flap survival based on current literature on various experimental models in animals.展开更多
Objective:To investigate the effect of a subcutaneous pedicle Limberg flap for the reconstruction of medium-sized skin defects in the face following skin tumor or scar excision. Methods: From August 2002 to June 2004,...Objective:To investigate the effect of a subcutaneous pedicle Limberg flap for the reconstruction of medium-sized skin defects in the face following skin tumor or scar excision. Methods: From August 2002 to June 2004,the subcutaneous pedicle Limberg flap was designed to repair facial skin defects in 17 patients(19 flaps),and the size of the lesions ranged from 2.0 cm×1.9 cm to 5.0 cm×4.5 cm.The operation was performed under general anesthesia in 2 children,and under local anesthesia in the remaining 15 patients. Results: All flaps survived with primary healing postoperatively.With a follow-up from 1 to 22 months,neither short-term nor long-term postoperative complications such as flap necrosis,hematoma,infection,visible dog-ear and trap door deformity were found,and functionally and cosmetically satisfactory outcomes were achieved. Conclusion: This subcutaneous pedicle Limberg flap provides a competitive repair alternative for the treatment of medium-sized skin defects in the face.展开更多
Objective: To explore the clinical effect of vacuum sealing drainage on free dermatoplasty in the donor-site of calf pedicled island flap. Method: From January 2016 to January 2018, a total of 70 patients undergoing r...Objective: To explore the clinical effect of vacuum sealing drainage on free dermatoplasty in the donor-site of calf pedicled island flap. Method: From January 2016 to January 2018, a total of 70 patients undergoing reconstruction of skin and soft tissue defects in ankles and legs with calf pedicle island flap in Foshan Traditional Chinese Medicine Hospital were selected into our research. Selected patients were divided into VSD group and pressure dressing group according to the order of surgery. The VSD group was treated with free skin grafting and vacuum sealing drainage after separation of donor-site flap. The pressure dressing group was treated with free skin grafting and traditional pressure dressing technology after the separation of donor-site flap. Visual acuity simulation scores (VAS) were observed and recorded on the 1st, 7th, and 14th day after surgery. The unpacking time, skin graft healing time, skin graft survival rate, infection rate and incidence of subcutaneous hematoma were compared between the two groups. Results: The VAS scores on the 7th and 14th day after surgery in the VSD group were lower than those in the pressure dressing group. The unpacking time and skin graft healing time of the VSD group were shorter than those of the pressure dressing group. The survival rate of skin graft in VSD group was higher than that in the pressure dressing group. The infection rate and the incidence of subcutaneous hematoma in the VSD group were lower than those in the pressure dressing group. Conclusion: Vacuum sealing drainage is beneficial to promote the healing of free skin grafts in the donor site of the calf pedicle island flap, relieve pain, reduce adverse reactions, safe and effective, and worthy of clinical promotion.展开更多
To report a method of repair facial skin defects with a skin flap of SMAS pedicle.Methods According to the size of defect of skin,design a skin flap with SMAS pedicle for repair of defect.Results The method has been s...To report a method of repair facial skin defects with a skin flap of SMAS pedicle.Methods According to the size of defect of skin,design a skin flap with SMAS pedicle for repair of defect.Results The method has been successfully applied for skin defects of eyelid and lip in 14 cases with satisfied results.The area of the largest flap was 5 cm×3 cm.Conclusion Repairing facial defects such as eyelid skin defect or lip skin defect with skin flap of SMAS pedicle is a very good method.The flap has a good blood supporting and satisfactory color and flexibility.5 refs,6 figs.展开更多
目的探讨阴茎头隧道技术联合带蒂阴茎皮瓣扩大尿道成形术治疗阴茎头尿道狭窄的临床效果。方法回顾性分析2023年1月至2024年1月就诊于上海交通大学医学院附属仁济医院泌尿外科的21例阴茎头尿道狭窄患者的临床资料,21例患者均为医源性狭窄...目的探讨阴茎头隧道技术联合带蒂阴茎皮瓣扩大尿道成形术治疗阴茎头尿道狭窄的临床效果。方法回顾性分析2023年1月至2024年1月就诊于上海交通大学医学院附属仁济医院泌尿外科的21例阴茎头尿道狭窄患者的临床资料,21例患者均为医源性狭窄(包括前列腺增生手术、经尿道膀胱病损切除术、导尿)。其中,尿道口狭窄9例,舟状窝狭窄12例。术前患者中位狭窄长度为2.00(2.00,3.00)cm,手术前后常规评估最大尿流率(_(max)imum flow rate,Q_(max))、国际前列腺症状评分(International Prostate Symptom Score,IPSS)、国际勃起功能问卷评分(International Index of Erectile Function-5,IIEF-5)。结果术后平均随访时间(8.24±2.17)个月,术后Q_(max)、IPSS分别为为21.00(19.00,26.00)ml/s、(6.86±2.29)分,高于术前6.00(4.50,8.00)ml/s、(17.24±5.68)分,差异有统计学意义(P<0.01);术后IIEF-5为21.00(10.00,22.50)分,与术前21.00(9.00,22.50)分相比,差异无统计学意义(P>0.30)。术后21例患者均无狭窄复发,阴茎头裂开,尿瘘,伤口感染、缺血坏死。结论对于尿道口及舟状窝狭窄患者,保留阴茎头完整性的阴茎头隧道阴茎皮瓣扩大尿道成形术,可实现功能与美观的统一,是疗效相对确切的方法。展开更多
目的探讨皮下组织蒂菱形皮瓣成形术治疗烧伤后瘢痕挛缩的效果。方法选取2019年10月至2022年10月莆田市第一医院烧伤整形科收治的烧伤后瘢痕挛缩患者共100例,按治疗方式不同分成研究组(50例)与对照组(50例),对照组采用游离皮片移植术,研...目的探讨皮下组织蒂菱形皮瓣成形术治疗烧伤后瘢痕挛缩的效果。方法选取2019年10月至2022年10月莆田市第一医院烧伤整形科收治的烧伤后瘢痕挛缩患者共100例,按治疗方式不同分成研究组(50例)与对照组(50例),对照组采用游离皮片移植术,研究组采用皮下组织蒂菱形皮瓣成形术,统计两组术后1年皮瓣成活率、瘢痕挛缩复发率,比较两组生活质量[生活质量综合评定问卷(Generic Quality of Life Inventory-74,GQOLI-74)]、并发症。结果术后1年,研究组(100.00%)皮瓣成活率与对照组(92.00%)比较差异有统计学意义(P<0.05),研究组(4.00%)瘢痕挛缩复发率较对照组(18.00%)更低(P<0.05);两组术后1年GQOLI-74评分升高(P<0.05),研究组较对照组更高(P<0.05);研究组(4.00%)并发症发生率较对照组(24.00%)更低(P<0.05)。结论皮下组织蒂菱形皮瓣成形术治疗烧伤后瘢痕挛缩皮瓣成活率较高,可降低瘢痕挛缩复发率、生活质量提高,降低并发症发生风险。展开更多
Objective:To investigate the outcomes of subcutaneous island pedicle flap for reconstruction of the medium-sized facial skin defects. Methods: Eighty nine cases of facial defects within one cosmetic unit following rem...Objective:To investigate the outcomes of subcutaneous island pedicle flap for reconstruction of the medium-sized facial skin defects. Methods: Eighty nine cases of facial defects within one cosmetic unit following removal of skin tumors or scars were reconstructed with advancement or transposition island pedicle flaps. Patient records and postoperative photographs were reviewed retrospectively. Both patients and other surgeons were asked to assess outcome variables. Results: All flaps survived with primary healing postoperatively. Patients and surgeons judged excellent or good overall outcomes in 95. 5% and 92. 7% of all evaluated cases, respectively. Conclusion: The subcutaneous island pedicle flap may be an extremely versatile and reliable method for aesthetic reconstruction of medium-sized facial defects in the patients of all time of life.展开更多
Background Skin lesions on the nose are common.Multiple surgical techniques have been used for nasal reconstruction.These options may be autogenous or alloplastic and can be performed in single or multiple stages.The ...Background Skin lesions on the nose are common.Multiple surgical techniques have been used for nasal reconstruction.These options may be autogenous or alloplastic and can be performed in single or multiple stages.The choice of coverage depends on the nature of the lesion,location on the nose,and available donor sites.This study aimed to evaluate the surgical outcomes of using locoregional flaps for nasal reconstruction.Methods A total of 27 patients underwent surgery.There were 9 men and 18 women,aged 7 months to 93 years.Four patients presented with involuting hemangioma,five patients with ischemic necrosis of the columella,and five patients with congenital nevus;the remaining 13 patients were previously diagnosed with basal cell carcinoma.Six techniques have been described for nasal reconstruction at our institution from 2016 to 2020.Most patients had basal cell carcinoma(n=13).Locoregional flaps and primary sutures were used for nasal reconstruction.Results The complications were minimal.One patient had a superficial infection and one experienced postoperative bleeding.No recurrence was observed,and none of the patients asked for a second opinion.Conclusion Radical excision of tumors combined with analysis of nasal defects and nearby donor sites is essential for nasal reconstruction.The use of locoregional flaps leads to consistent and good aesthetic outcomes.展开更多
文摘The use of skin flaps in reconstructive surgery is the first-line surgical treatment for the reconstruction of skin defects and is essentially considered the starting point of plastic surgery. Despite their excellent usability, their application includes general surgical risks or possible complications, the primary and most common is necrosis of the flap. To improve flap survival, researchers have used different methods, including the use of adiposederived stem cells, with significant positive results. In our research we will report the use of adipose-derived stem cells in pedicle skin flap survival based on current literature on various experimental models in animals.
文摘Objective:To investigate the effect of a subcutaneous pedicle Limberg flap for the reconstruction of medium-sized skin defects in the face following skin tumor or scar excision. Methods: From August 2002 to June 2004,the subcutaneous pedicle Limberg flap was designed to repair facial skin defects in 17 patients(19 flaps),and the size of the lesions ranged from 2.0 cm×1.9 cm to 5.0 cm×4.5 cm.The operation was performed under general anesthesia in 2 children,and under local anesthesia in the remaining 15 patients. Results: All flaps survived with primary healing postoperatively.With a follow-up from 1 to 22 months,neither short-term nor long-term postoperative complications such as flap necrosis,hematoma,infection,visible dog-ear and trap door deformity were found,and functionally and cosmetically satisfactory outcomes were achieved. Conclusion: This subcutaneous pedicle Limberg flap provides a competitive repair alternative for the treatment of medium-sized skin defects in the face.
文摘Objective: To explore the clinical effect of vacuum sealing drainage on free dermatoplasty in the donor-site of calf pedicled island flap. Method: From January 2016 to January 2018, a total of 70 patients undergoing reconstruction of skin and soft tissue defects in ankles and legs with calf pedicle island flap in Foshan Traditional Chinese Medicine Hospital were selected into our research. Selected patients were divided into VSD group and pressure dressing group according to the order of surgery. The VSD group was treated with free skin grafting and vacuum sealing drainage after separation of donor-site flap. The pressure dressing group was treated with free skin grafting and traditional pressure dressing technology after the separation of donor-site flap. Visual acuity simulation scores (VAS) were observed and recorded on the 1st, 7th, and 14th day after surgery. The unpacking time, skin graft healing time, skin graft survival rate, infection rate and incidence of subcutaneous hematoma were compared between the two groups. Results: The VAS scores on the 7th and 14th day after surgery in the VSD group were lower than those in the pressure dressing group. The unpacking time and skin graft healing time of the VSD group were shorter than those of the pressure dressing group. The survival rate of skin graft in VSD group was higher than that in the pressure dressing group. The infection rate and the incidence of subcutaneous hematoma in the VSD group were lower than those in the pressure dressing group. Conclusion: Vacuum sealing drainage is beneficial to promote the healing of free skin grafts in the donor site of the calf pedicle island flap, relieve pain, reduce adverse reactions, safe and effective, and worthy of clinical promotion.
文摘To report a method of repair facial skin defects with a skin flap of SMAS pedicle.Methods According to the size of defect of skin,design a skin flap with SMAS pedicle for repair of defect.Results The method has been successfully applied for skin defects of eyelid and lip in 14 cases with satisfied results.The area of the largest flap was 5 cm×3 cm.Conclusion Repairing facial defects such as eyelid skin defect or lip skin defect with skin flap of SMAS pedicle is a very good method.The flap has a good blood supporting and satisfactory color and flexibility.5 refs,6 figs.
文摘目的探讨阴茎头隧道技术联合带蒂阴茎皮瓣扩大尿道成形术治疗阴茎头尿道狭窄的临床效果。方法回顾性分析2023年1月至2024年1月就诊于上海交通大学医学院附属仁济医院泌尿外科的21例阴茎头尿道狭窄患者的临床资料,21例患者均为医源性狭窄(包括前列腺增生手术、经尿道膀胱病损切除术、导尿)。其中,尿道口狭窄9例,舟状窝狭窄12例。术前患者中位狭窄长度为2.00(2.00,3.00)cm,手术前后常规评估最大尿流率(_(max)imum flow rate,Q_(max))、国际前列腺症状评分(International Prostate Symptom Score,IPSS)、国际勃起功能问卷评分(International Index of Erectile Function-5,IIEF-5)。结果术后平均随访时间(8.24±2.17)个月,术后Q_(max)、IPSS分别为为21.00(19.00,26.00)ml/s、(6.86±2.29)分,高于术前6.00(4.50,8.00)ml/s、(17.24±5.68)分,差异有统计学意义(P<0.01);术后IIEF-5为21.00(10.00,22.50)分,与术前21.00(9.00,22.50)分相比,差异无统计学意义(P>0.30)。术后21例患者均无狭窄复发,阴茎头裂开,尿瘘,伤口感染、缺血坏死。结论对于尿道口及舟状窝狭窄患者,保留阴茎头完整性的阴茎头隧道阴茎皮瓣扩大尿道成形术,可实现功能与美观的统一,是疗效相对确切的方法。
文摘目的探讨皮下组织蒂菱形皮瓣成形术治疗烧伤后瘢痕挛缩的效果。方法选取2019年10月至2022年10月莆田市第一医院烧伤整形科收治的烧伤后瘢痕挛缩患者共100例,按治疗方式不同分成研究组(50例)与对照组(50例),对照组采用游离皮片移植术,研究组采用皮下组织蒂菱形皮瓣成形术,统计两组术后1年皮瓣成活率、瘢痕挛缩复发率,比较两组生活质量[生活质量综合评定问卷(Generic Quality of Life Inventory-74,GQOLI-74)]、并发症。结果术后1年,研究组(100.00%)皮瓣成活率与对照组(92.00%)比较差异有统计学意义(P<0.05),研究组(4.00%)瘢痕挛缩复发率较对照组(18.00%)更低(P<0.05);两组术后1年GQOLI-74评分升高(P<0.05),研究组较对照组更高(P<0.05);研究组(4.00%)并发症发生率较对照组(24.00%)更低(P<0.05)。结论皮下组织蒂菱形皮瓣成形术治疗烧伤后瘢痕挛缩皮瓣成活率较高,可降低瘢痕挛缩复发率、生活质量提高,降低并发症发生风险。
文摘Objective:To investigate the outcomes of subcutaneous island pedicle flap for reconstruction of the medium-sized facial skin defects. Methods: Eighty nine cases of facial defects within one cosmetic unit following removal of skin tumors or scars were reconstructed with advancement or transposition island pedicle flaps. Patient records and postoperative photographs were reviewed retrospectively. Both patients and other surgeons were asked to assess outcome variables. Results: All flaps survived with primary healing postoperatively. Patients and surgeons judged excellent or good overall outcomes in 95. 5% and 92. 7% of all evaluated cases, respectively. Conclusion: The subcutaneous island pedicle flap may be an extremely versatile and reliable method for aesthetic reconstruction of medium-sized facial defects in the patients of all time of life.
文摘Background Skin lesions on the nose are common.Multiple surgical techniques have been used for nasal reconstruction.These options may be autogenous or alloplastic and can be performed in single or multiple stages.The choice of coverage depends on the nature of the lesion,location on the nose,and available donor sites.This study aimed to evaluate the surgical outcomes of using locoregional flaps for nasal reconstruction.Methods A total of 27 patients underwent surgery.There were 9 men and 18 women,aged 7 months to 93 years.Four patients presented with involuting hemangioma,five patients with ischemic necrosis of the columella,and five patients with congenital nevus;the remaining 13 patients were previously diagnosed with basal cell carcinoma.Six techniques have been described for nasal reconstruction at our institution from 2016 to 2020.Most patients had basal cell carcinoma(n=13).Locoregional flaps and primary sutures were used for nasal reconstruction.Results The complications were minimal.One patient had a superficial infection and one experienced postoperative bleeding.No recurrence was observed,and none of the patients asked for a second opinion.Conclusion Radical excision of tumors combined with analysis of nasal defects and nearby donor sites is essential for nasal reconstruction.The use of locoregional flaps leads to consistent and good aesthetic outcomes.
