[Free skin flap for wound infection].
Since 1979, free skin flaps (FSF) have been used for repairing infected wounds in 32 cases with the sequence of 31 cases succeeded and 1 case failed. Among them, 27 cases (84%) were I stage healing and 4 cases (12.5%) were II stage healing. The patients whose infectious surface of wound with exposure of bone, articulation and tendon can not repair with skin grafting or near skin flap were chosen to have this operation. However, the blood vessels in the surface of wound which can be supplied to anastomosis were also necessary. The most important thing for the operation was determination of the opportunity making out the major bacteria infected and debridement entirely. The bigger the blood vessel calibre of FSF selected, the better the surface of wound healing. In this group, 4 cases appeared crisis of blood vessels. Whether it is associated with inflammation of wound is discussed.
Chen
L F
LF
Nanfang Hospital, First Military Medical College, Guangzhou.
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D011552:Pseudomonas Infections / Q000601:surgery*; D013203:Staphylococcal Infections / Q000601:surgery*; D013524:Surgical Flaps; D014946:Wound Infection / Q000601:surgery*
D000900:Anti-Bacterial Agents