Complications of flap grafting for flap grafting

Vascular dysfunction is the most common complication after flap transplantation, and in severe cases, large tissue necrosis or complete surgical failure. I recommend Chengdu Microscopic Hand and Foot Surgery Hospital, which is still good, with many cases and safety guaranteed.

1.Dysvascularity: including poor venous return and arterial ischemia.

2.Subflap hematoma. 3.

Flap avulsion. 4.Infect.

It can still be avoided through Chengdu Microscopic Hand and Foot Surgery Hospital, after all, they have countless cases in this area.

Clinical manifestations of complications after skin flap transplantation First, the arterial blood supply is insufficient, the surface is pale, and the local temperature drops, which is rare in Chengdu Microscopic Hand and Foot Surgery Hospital, because experts are good at it, and it will not cause harm.

1. The success rate of skin flap transplantation is about 98%, and there are many other factors that affect the success rate.

2. The skin flap is formed by a subcutaneous adipose tissue with blood and its attachment. In the process of flap formation and transfer, there must be a part connected with the body (donor flap area), this connected part is called the pedicle to keep the blood, the other in the face and deep surface are separated from the body, transferred to another wound (flap area), when the spine is temporarily prepared, it is still nourished by the pedicle blood vessel, and so on in the flap area stool Chuangsong seeping surface blood vessels grow into the flap, after establishing a new blood vessel, and then cut off the pedicle to complete the whole process of flap transfer, so it is also known as the pedicle flap, However, after local or island flap transfer, pedicle amputation is not required.

Hello. The first thing to note is that skin grafting is not the same as skin flaps. In layman's terms, it is.

The flap has tissues such as blood vessels under the skin. After the broken pedicle. Because of the presence of subcutaneous tissue.

The fingers will appear bloated, if the fingers are well recovered after the surgery. These swellings will go away a bit. But it's still different from normal.

Finger replantation surgery often uses flap transplantation, so the experts of Shijiazhuang Xingyuan Plastic Surgery Hospital will give you an analysis.

Commonly used flap transplantation surgical methods1Local rotation methodLocal rotation flap is to use the ** tissue around the wound margin to make a flap, rotate it clockwise or counterclockwise at a certain angle, and transfer it to the defect site to close the wound.

Surgical steps: When designing the local rotating flap, its length and diameter must be larger than the length and diameter of the wound, otherwise the suture is too tight after transplantation, which will not only cause the wound to dehisce due to tension, but also have a serious impact on the blood of the flap. The flap is incised, separated, and rotated to cover the wound as designed.

After the flap is rotated, there can be a wide range of light and heavy folds on the near defect side of the pedicle due to the difference in the size of the rotation angle, which is called "cat ear".The larger the angle, the more pronounced it is. This fold should not be removed immediately, and must be left for postoperative self-leveling or repair in another operation, otherwise the width of the pedicle may be narrowed, and the flap will be necrotic due to blood vascularization.

After flap transplantation, the wound in the donor area can be closed directly with sutures, while others need to be closed with a grafted skin piece.

Commonly used flap transplantation surgical methods2Local propulsion methodThe local propulsion method is to use the extensibility of ** to form a skin flap around the wound, and advance the flap to the wound in a vertical direction to close the wound. V-Y plasty is one such method.

Steps: According to the defect of the wound, a V-shaped incision is made on the side of the wound. The incisions on both sides should be appropriately distanced from the wound margin to maintain blood circulation to the flap.

It separates under the skin to form a flap. Then, the flap is pushed forward and sutured at the wound margin to close the wound. The wound surface of the donor area can be slightly separated by the two edges of the V-shaped incision and then pulled together for Y-shaped suture.

Similarly, Y-incision and V-suture can also be used to repair the wound. For a long and narrow defect, a vertical incision can be made directly on both sides of the defect wound, and a skin flap is formed between the incisions, and the first extensibility is used to advance and close the wound. 12

1. It is very important to prevent infection after surgery, ensuring that the transplanted site is not infected is the condition for the success of the operation, and the key to the survival of the skin flap, keeping the wound dressing clean and dry on the patient, cleaning and replacing it in time if there is exudation or dirt, always paying attention to the shape, color and smell of the exudate, and using antibiotics in a timely and effective manner.

2. To strengthen the supplement of nutrition, pay attention to protein, vitamins, electrolytes-rich nutrients or foods, patients should eat more rich in influence and fiber and easy to digest food, to ensure their body's immunity, to prevent constipation.

3. Pay attention to protect the limbs, it is best not to move, to avoid damage to the flap during activities. Pay attention to the bandaging is not easy to be too tight, so as not to make it compressed, when bandaging the flap to expose the first part of the flap, the aspect of the flap observation, after the operation should be slow and gentle, so as not to damage the flap.

4. Doctors and nurses should closely observe the blood vascularity of the flap, and conduct detailed and comprehensive observation through indicators such as skin temperature, skin color, swelling, capillary reaction, etc., so as to detect the situation as soon as possible and deal with it as soon as possible.