[Free transfer of the latissimus dorsi flap to sites with decompensated regional blood flow in burn and vascular surgery].
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.
Gusak
V K
VK
Fistal'
E Ia
EIa
Rodin
Iu V
IuV
Livshits
G N
GN
Boropaev
V V
VV
Samoĭlenko
G E
GE
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
Svobodnaia peresadka loskuta shirochaĭsheĭ myshtsy spiny v zony s dekompensirovannym regionarnym krovotokom v ozhogovoĭ i sosudistoĭ khirurgii.