Treatment of hostile midline back wounds: an extreme approach.
The basic principles of successful wound closure remain the same: careful preoperative evaluation, removal of underlying nonviable tissue, and well-vascularized soft-tissue coverage. Many complex or "hostile" back wound closures also require stabilization of the spine and a two-layered wound closure. The use of long arteriovenous fistulas with free tissue transfer provides an additional weapon for the treatment of these complex wounds.
Few
J W
JW
Department of Neurosurgery at Northwestern University Medical School, Chicago, Ill., USA.
Marcus
J R
JR
Lee
M J
MJ
Ondra
S
S
Dumanian
G A
GA
D001163:Arteriovenous Anastomosis; D001415:Back / Q000098:blood supply*; D002339:Carotid Arteries / Q000601:surgery*; D002574:Cervical Vertebrae / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications / Q000532:radiotherapy; D011832:Radiation Injuries / Q000150:complications / Q000209:etiology; D016103:Spinal Fractures / Q000150:complications / Q000601:surgery; D013904:Thoracic Vertebrae / Q000601:surgery; D014680:Veins / Q000601:surgery; D014945:Wound Healing / Q000528:radiation effects; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery*