title: [Free transfer of the latissimus dorsi flap to sites with decompensated regional blood flow in burn and vascular surgery].
abstract: In the experiment, a sluggish wound of an extremity against the background of chronic ischemia was modelled in white rats. Then, a scapular muscle was transferred onto a wound defect. Free transfer of the latissimus dorsi flap (LDF) aimed at closure of the extensive wound defect and revascularization of the tissue ischemia area was performed in 29 patients: for high-voltage electric burn (12 cases), frostbite (5), radiation ulcer (4) and obliterative diseases of the lower extremities (8). Complications--partial, or total necrosis of a flap--occurred in 11 patients. Risk of free LDF transfer is justified because of absence of the other methods for prevention of amputation of the extremities.
authors.forename: V K
authors.initials: VK
authors.lastname: Gusak
authors.forename: E Ia
authors.initials: EIa
authors.lastname: Fistal'
authors.forename: Iu V
authors.initials: IuV
authors.lastname: Rodin
authors.forename: G N
authors.initials: GN
authors.lastname: Livshits
authors.forename: V V
authors.initials: VV
authors.lastname: Boropaev
authors.forename: G E
authors.initials: GE
authors.lastname: Samoĭlenko
mesh_terms: D000818:Animals; D002058:Burns, Electric / Q000601:surgery*; D006801:Humans; D051381:Rats; D012039:Regional Blood Flow; D012867:Skin / Q000098:blood supply*; D012883:Skin Ulcer / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D014656:Vascular Surgical Procedures / Q000379:methods
vernacular_title: Svobodnaia peresadka loskuta shirochaĭsheĭ myshtsy spiny v zony s dekompensirovannym regionarnym krovotokom v ozhogovoĭ i sosudistoĭ khirurgii.