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surgical flap
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    Nursing of patients Undertaking Laryngectomy with Neck Surgical Flap for Laryngeal Reconstruction
    喉切除颈前转门肌皮瓣喉功能重建术病人的护理
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  surgical flap
The sartorius muscle (SM) is frequently used as a surgical flap.
      
The surgical flap was subsequently removed with fine iris scissors.
      
In most cases, the osteotomy is done without incisions or the use of a surgical flap.
      


The authors summarized the nursing experience of357hand injuries with surgical flaps cases.The paper mainly intro-duced that aside with special fixed position and intensive observation of the vein,effective measures like preventing infection and pro-moting local circulation were key to the success of operation.

总结357例手外伤带血管蒂皮瓣转移术患者的护理体会。重点介绍在固定好特殊体位、密切观察受区皮肤血液循环的情况下,采取预防术后感染,促进血液循环的有效措施,对手术的成功是非常关键的。

Objective:To explore the methods of treatment and functional rehabilitation of scar contracture in burned hand.Method:33 patients(45 hands) were treated in our department from Jan 2001 to Apr 2005. All the hands had severe scar contracture on the dorsum or/and palm. Surgical releases and skin autografts were performed to repair scar contracture burned hand. Dorsolateral flap from the finger was designed to release flexion contracture. Early post-operation functional rehabilitation, including joint exercises...

Objective:To explore the methods of treatment and functional rehabilitation of scar contracture in burned hand.Method:33 patients(45 hands) were treated in our department from Jan 2001 to Apr 2005. All the hands had severe scar contracture on the dorsum or/and palm. Surgical releases and skin autografts were performed to repair scar contracture burned hand. Dorsolateral flap from the finger was designed to release flexion contracture. Early post-operation functional rehabilitation, including joint exercises and elastic pressure garments were used to improve hand function.Result:All skin grafts and skin flaps survived after the operation. All patients were followed-up 3 months to 2 years postoperatively. The range of motion of metacarpophalangeal joint and interphalangeal joint and space capacity of the digital web-space were greatly improved. Reconstructed digital web-spaces were excellent in 18/36 on the surgical flap group, compared with 15/60 on the free skin graft group. Most cases 87.9% regained self-care ability and satisfaction with hand function.Conclusion:This is an easy and safe method for scar contracture in burned hand. The function of the burned hand could be greatly improved by this method.

目的:探讨烧伤后手指和指蹼挛缩畸形的手术治疗和功能康复方法。方法:本组33例45只伤手,采用瘢痕切除或切开加皮片移植术修复127个手指挛缩畸形,采用局部皮瓣或皮片移植术分别修复36只和60只指蹼畸形。手术后早期进行关节功能训练、按摩、弹力手套压迫等康复治疗。结果:皮片移植和皮瓣全部成活,手指间关节和掌指关节功能、指蹼功能均有改善,皮瓣法修复指蹼优于皮片法。通过功能康复治疗,87.9%患者生活能够完全或大部分自理。结论:对烧伤后手指瘢痕挛缩畸形采用手术和功能康复治疗可取得较好的效果,手指侧方皮瓣修复指蹼畸形,手术简单可靠,效果好。

 
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