The use of pedicled musculocutaneous flap of the trapezius muscle for the treatment of skin defect after two stage thoracic spine stabilisation – case report
DOI:
https://doi.org/10.12775/MBS.2016.004Keywords
wound healing, pedicle flapAbstract
Musculocutaneous flaps play an important role in modern reconstructive surgery. They are useful in the treatment of primary traumatic skin lesions and secondary lesions formed during complicated healing of the surgical wounds. The case of 60 years old woman undergoing complicated healing of the wound after spine surgery is presented. The patient was qualified to spine surgery due to metastatic tumour caused by the lung cancer. The use of pedicled flap facilitated healing of the wound; thus, there was no need to remove implants stabilising pathologically fractured spine. The issue of ‘reconstructive ladder’ is discussed in the paper with various treatment options. Indications, surgical technique and postoperative care are thoroughly discussed providing an overview on this valuable method of treatment which allows a successful termination of complicated wound healing process.
References
Weinstein MA., McCabe JP., Cammisa FP. Jr.:Postoperative Spinal Wound Infection: A Review of 2,391 Consecutive Index Procedures; Journal of Spinal Disorders, October 2000 - Volume 13: 422-426.
Olson M., O'Connor M., Schwartz ML.: Surgical wound infections. A 5-year prospective study of 20,193 wounds at the Minneapolis VA Medical Center; Ann Surg. Mar 1984; 199(3): 253–259.
World Wide Wounds: An overview of surgical site infections: aetiology, incidence and risk factors. http://www.worldwidewounds.com/2005/september/Gottrup/Surgical-Site-Infections-Overview.html
Goldman R.: Growth factors and chronic wound healing: past, present, and future; Adv Skin Wound Care. 2004 Jan-Feb;17(1):24-35.
Mathes S., Nahai F.: Clinical application for muscle and musculocutaneous flaps. Mosby, St Louis, 1982.
Guyuron B., Eriksson E., Persing JA.: Plastic Surgery: Indications and Practice, Saunders, Philadelphia, 2009, rozdział 4.
Position Document of the Australian Wound Management Association: Bacterial impact on wound healing: From contamination to infection Australian Wound Management Association Inc October 2011.
Edward R, Harding KG.: Curr Opin Infect, Dis 2004; 17(2):91-96.
Heggers JP: Defining infection in chronic wounds: does it matter?; J Wound Care 1998; 7:389-392.
Svensjo T., Pomahac F., Yao J.: Accelerated healing of full-thickness skin wounds in a wet environment; Plastic and Reconstructive Surgery 2000; 106(3):602-612.discussion 613–614.
Vogt PM., Andree C., Breuing KH.: Dry moist and wet skin wound repair; Annals of Plastic Surgery 1995; 34(5):493-499.discussion 499–500.
Junker JPE, Kamel RA., Caterson EJ.: Clinical Impact Upon Wound Healing and Inflammation in Moist, Wet, and Dry Environments; Adv Wound Care, 2013 Sep; 2(7): 348–356.
Argenta LC., Morykwas MJ., Mark MW.: Vacuumassisted closure: state of clinic art; Plast Reconstr Surg 2006; 117(7 Suppl):127S-142S.
World Health Organization : Cancer pain relief and palliative care, Geneva, WHO, 1990.
Downloads
Published
How to Cite
Issue
Section
Stats
Number of views and downloads: 333
Number of citations: 0