[Determination of the cutaneous viability of skin following incomplete avulsion and its treatment].
OBJECTIVE
In the determination of the viability of skin following incomplete avulsion, subjective criteria such as color, skin temperature, pressure reaction and the stab bleeding would often give a high rate of failure. In order to resolve this problem, a retrospective study was carried out.


METHODS
In 27 patients, there were 18 males and 9 females, the age ranged from 7 to 41 years old. In operation, the blood supply of the skin was determined by above subjective criteria carefully.


RESULTS
After operation, 5 cases had total survival, 7 cases had peripheral or small area necrosis and 15 cases resulted in large area of necrosis.


CONCLUSIONS
The conclusion was that if the incompletely avulsed skin showed sign of being compressed and squeezed, or the incompletely avulsed skin had uncertain or unstable circulatory status, even though the circulatory status being good, active attitude should be given to debridement in complete removal of the avulsed skin in order to improve the successful rate. For the other 2 cases with degloving injuries of large area of the limbs, the avulsed skin was made into a subdermal vascular network skin flap and several axial incisions were made to save the blood circulation of flap. The result was satisfactory and the vital tissues were preserved and used to the greatest extent.
Ma
Y
Y
Department of Plastic Surgery, Third Affiliated Hospital, Beijing Medical University, Beijing, P. R. China 100083.
Li
J
J
Li
B
B
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D002648:Child; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012867:Skin / Q000098:blood supply / Q000293:injuries* / Q000473:pathology; D014947:Wounds and Injuries / Q000601:surgery