Microwave treatment of VSD with skin and soft tissue defect of Clinical Research.docVIP

 PAGE \* MERGEFORMAT 7 Microwave treatment of VSD with skin and soft tissue defect of Clinical Research Of: Monte Ka Fai, Huang Jiaji, Shi Albert, Huang Lu, Wujiang Hua, Fang Wen Day [Abstract] hospital with VSD (VSD) and microwave treatment of skin and soft tissue defects of 61 patients, the results show that microwave combination of VSD Treatment of skin and soft tissue defects is effective, safe, easy operation, can reduce the suffering of patients and costs, reduce medical personnel workload. [Keywords:] soft tissue defect; VSD; microwave Since May 2008 ~ August 2009 in our hospital with VSD microwave (VSD) treatment of patients with skin and soft tissue defects in 61 cases, results were satisfactory, are as follows. Clinical data 1 General Information of this group 61 cases, male 39, female 22 cases; aged 18 to 65 years, average 35.5 years old. The causes of injury: 30 cases of road traffic injury, fall injury in 16 cases, 3 cases of strangulation injuries, explosion injuries 10 cases, chopped 2 cases. damage area: 5.0cm 4.5cm ~ 35.0cm 20.0cm. 2 treatment combined with microwave VSD (s Medical Technology, Wuhan Davis limited production) in the treatment, debridement, removal of necrotic fascia and muscle tissue, repeatedly flushing the wound, full of bleeding, as far as possible the exposed bone with soft tissue coverage, such as the use of external and fracture bracket, or Kirschner wire fixation. VSD closely with adhesive, covering the wound, interrupted suture the skin edges and VSD. with a biological permeable membrane (UK S amp; V Company) adhesive closure of the wound, the wound edges of the coverage of more than 3cm. drainage tube from the leads to the mouth of the films wound under the Access Centre, drainage, control of negative pressure in the 20 ~ 80kPa. 7 to 10 days after film opened to remove the VSD observed wounds (see Figure 1 to 3). avulsion of the skin in situ graft who continue to change dressings, wound 2 weeks af