title: [Aesthetic effect of wound repair with flaps].
abstract: OBJECTIVE
  To investigate the aesthetic effect of wound repair with flaps.
  
  
  METHODS
  One thousand nine hundred and ninety-six patients with 2082 wounds hospitalized from January 2004 to December 2011. These wounds included 503 deep burn wounds, 268 pressure sores, 392 soft tissue defects caused by trauma, 479 soft tissue defects due to resection of skin cancer and mole removal, 314 soft tissue defects caused by scar excision, and 126 other wounds. Wound area ranged from 1.5 cm x 1.0 cm to 30.0 cm x 22.0 cm. Sliding flaps, expanded flaps, pedicle flaps, and free flaps were used to repair the wounds in accordance with the principle and timing of wound repair with flaps.
  
  
  RESULTS
  Five flaps showed venous congestion within 48 hours post-operation, 2 flaps of them improved after local massage. One flap survived after local heparin wet packing and venous bloodletting. One flap survived after emergency surgical embolectomy and bridging with saphenous vein graft. One flap showed partial necrosis and healed after skin grafting. The other flaps survived well. One thousand three hundred and twenty-one patients were followed up for 3 months to 2 years, and flaps of them were satisfactory in shape, color, and elasticity, similar to that of normal skin. Some patients underwent scar revision later with good results.
  
  
  CONCLUSIONS
  Application of suitable flaps in wound repair will result in quick wound healing, good function recovery, and satisfactory aesthetic effect.
authors.affiliation: Department of Plastic Surgery and Burns, Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Tan
authors.forename: Hong-Reng
authors.initials: HR
authors.lastname: Zhou
authors.forename: Shu-Qin
authors.initials: SQ
authors.lastname: Wang
authors.forename: Dong-Feng
authors.initials: DF
authors.lastname: Zheng
authors.forename: Peng
authors.initials: P
authors.lastname: Xu
authors.forename: Jie
authors.initials: J
authors.lastname: Wu
authors.forename: Hua-Qiang
authors.initials: HQ
authors.lastname: Ge
authors.forename: Yue
authors.initials: Y
authors.lastname: Lin
authors.forename: Xin
authors.initials: X
authors.lastname: Yan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002056:Burns / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps; D014945:Wound Healing; D055815:Young Adult