Flap Analysis of inactivation.docVIP

 PAGE \* MERGEFORMAT 7 Flap Analysis of inactivation [Keywords:] surgical flap inactivation Flap or a skin flap technique is to eliminate scar for cosmetic plastic surgery and trauma surgical repair repair soft tissue defects and bone exposure of soft tissue coverage of the commonly used surgical methods, but in recent years, the research and development of a new technique flap more reports on the contrary, , on the flap of deactivation is relatively small. This will be our hospital between 2000-2008 were implemented in 136 cases of flap surgery, inactivation of the current 15 cases the reason to make a report. 1 Clinical data The group of 15 patients 9 were male and 6 female, age 69 to 11 years old, average 37.6 years old. Which twist and injury in 5 cases, 3 cases of avulsion injury, electrical injury, 2 cases of burn scar in 2 cases, open exposed bone after fracture in 2 cases, 1 case of hot crush .15 cases pedicle flap in 6 cases, of which with known vascular pedicle in 2 cases, fascia 4; free skin flap in 9 cases, in which physiological transplantation in 8 cases, 1 case of non-physiological. deactivation routine skin grafts after 6, 2 patients poor function; 9 cases were in two rows flap surgery, postoperative satisfaction. 2 Discussion Flap success of the operation depends on the preoperative, intraoperative and postoperative every aspect of the neglect of any one detail can cause surgical failure. Comprehensive summary of 15 cases of failure cases, mainly due to the following aspects. 2.1 strictly non-transplant indications of surgical indications should give up the graft wound, but sometimes surgery clinic physicians to accommodate the requirements of patients and their families, use their experience to relax the surgical indications, both doctors and patients to obtain psychological comfort. Did not. flap should be overcome in the “psychological comfort” factor, to avoid unnecessary waste of human and material resources, and reduc