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Volume 37 Issue 11
Nov.  2021
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2021  >  37(11): 1048-1053
Fu Xiaobing,Li Xiaokun.Establishment of 'Chinese way' for trauma and burn management based on the engineered growth factors research and application[J].Chin J Burns Wounds,2022,38(01):4-8.DOI: 10.3760/cma.j.cn501120-20211125-00397.
Citation: Tong L,Hu XL,Zhang WF,et al.Clinical effects of bridge-type continuous negative pressure suction in postoperative fixation of upper limb soft tissue defect wound repaired with pedicled abdominal flap[J].Chin J Burns,2021,37(11):1048-1053.DOI: 10.3760/cma.j.cn501120-20210204-00050.
shu

Clinical effects of bridge-type continuous negative pressure suction in postoperative fixation of upper limb soft tissue defect wound repaired with pedicled abdominal flap

doi: 10.3760/cma.j.cn501120-20210204-00050

  • Department of Burns and Cutaneous Surgery,Burn Center of PLA,the First Affiliated Hospital of Air Force Medical University, Xi'an 710032, China

Funds:

Natural Science Basic Research Project of Shaanxi Province of China 2020JM-322

More Information
  • Corresponding author: Guan Hao, Email: guanhao@hotmail.com
  • Received Date: 2021-02-04
    Abstract
  •   Objective  To observe the clinical effects of bridge-type continuous negative pressure suction in postoperative fixation of upper limb soft tissue defect wound repaired with pedicled abdominal flap.  Methods  The retrospective observational study was conducted. From April 2018 to October 2020, ninety-five patients who met the inclusion criteria were admitted to the First Affiliated Hospital of Air Force Medical University, including 55 males and 40 females, aged 5-78 years, with a defect wound area of 82 (9, 216) cm2. All patients underwent abdominal flap repair for soft tissue defects of hand and forearm. According to the different fixation methods adopted in the operation area, the patients were divided into negative pressure group (n=48) and plaster group (n=47). Wounds of the injury sites of patients in the 2 groups were repaired by flap transplantation after debridement. The negative pressure suction device was placed after dry gauze dressing to form a "bridge" to fix the affected upper limb and chest and abdomen in negative pressure group. Patients in plaster group were treated with conventional dry gauze matting and plaster fixation. On post surgery day (PSD) 1, 3, 5, 7, and 14, flap blood circulation and pain intensity of patients in the 2 groups were calculated by self-made blood flow scoring scale and Changhai Pain Ruler, respectively. On PSD 5, the common complications in operative area and surrounding skin were observed and their incidences were calculated. On PSD 7, satisfaction degree of patients was scored. During follow-up of one month after pedicle division, the appearance and functional recovery of the affected limb were observed. Data were statistically analyzed with analysis of variance for repeated measurement, independent samples t est, Cochran & Cox approximate t test, chi-square test, and Wilcoxon rank-sum test.  Results  On PSD 1, 3, 5, 7, and 14, the flap blood circulation scores of patients in negative pressure group did not change significantly, while that of patients in plaster group showed a time-dependent decrease, and the flap blood circulation scores of patients in negative pressure group were significantly higher than those in plaster group (t=2.259, 2.552, 2.784, 2.821, 3.003, P<0.05 or P<0.01). There were no significant changes in the pain intensity scores of patients in negative pressure group, while those of patients in plaster group increased in a time-dependent manner, and the pain intensity scores of patients in negative pressure group were significantly lower than those in plaster group (t=-4.818, -4.944, -5.011, -5.976, -6.721, P<0.05). On PSD 5, the incidences of common complications in operative area and surrounding skin of patients in negative pressure group were significantly lower than those in plaster group (χ2=6.773, 5.269, P<0.05 or P<0.01). On PSD 7, the satisfaction score of patients in negative pressure group was 14.7±1.1, which was significantly higher than 7.4±1.8 in plaster group (t=23.934, P<0.01). During follow-up of one month after pedicle division, the appearance and function of the affected limb of patients in the 2 groups recovered well.  Conclusions  After repairing the upper limb soft tissue defect wound with pedicled abdominal flap, the bridge-type continuous negative-pressure suction fixation can effectively immobilize the affected limbs, chest and abdomen, reduce the incidence of common complications in the operative area and surrounding skin, relieve the pain of immobilization of patients, improve the blood circulation of flap and patient's satisfaction. Thus, it is an effective, portable, comfortable, and easy-to-operate method.

     

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    Created with Highcharts 5.0.7Chart context menuAccess Area Distribution其他: 6.7 %其他: 6.7 %其他: 0.7 %其他: 0.7 %Baden: 0.1 %Baden: 0.1 %Central District: 0.1 %Central District: 0.1 %China: 2.4 %China: 2.4 %Columbia: 0.1 %Columbia: 0.1 %Halfweg: 0.2 %Halfweg: 0.2 %[]: 0.3 %[]: 0.3 %上海: 4.2 %上海: 4.2 %东莞: 1.6 %东莞: 1.6 %乌鲁木齐: 0.1 %乌鲁木齐: 0.1 %九龙: 0.1 %九龙: 0.1 %伦敦: 0.2 %伦敦: 0.2 %佛山: 0.1 %佛山: 0.1 %佳木斯: 0.2 %佳木斯: 0.2 %克拉玛依: 0.2 %克拉玛依: 0.2 %六盘水: 0.1 %六盘水: 0.1 %兰州: 0.2 %兰州: 0.2 %包头: 0.2 %包头: 0.2 %北京: 4.5 %北京: 4.5 %北方邦: 0.1 %北方邦: 0.1 %十堰: 0.1 %十堰: 0.1 %南京: 1.6 %南京: 1.6 %南充: 0.5 %南充: 0.5 %南宁: 0.6 %南宁: 0.6 %南昌: 0.3 %南昌: 0.3 %南通: 0.1 %南通: 0.1 %厦门: 0.3 %厦门: 0.3 %台州: 0.2 %台州: 0.2 %合肥: 1.0 %合肥: 1.0 %吉林: 0.1 %吉林: 0.1 %呼和浩特: 0.3 %呼和浩特: 0.3 %咸阳: 0.1 %咸阳: 0.1 %哥伦布: 0.2 %哥伦布: 0.2 %唐山: 0.1 %唐山: 0.1 %商洛: 0.1 %商洛: 0.1 %嘉兴: 0.4 %嘉兴: 0.4 %墨尔本: 0.4 %墨尔本: 0.4 %大连: 0.8 %大连: 0.8 %天水: 0.2 %天水: 0.2 %天津: 2.2 %天津: 2.2 %太原: 0.4 %太原: 0.4 %威海: 0.1 %威海: 0.1 %宁波: 0.3 %宁波: 0.3 %安康: 0.4 %安康: 0.4 %宝鸡: 0.1 %宝鸡: 0.1 %常州: 0.1 %常州: 0.1 %广州: 1.3 %广州: 1.3 %延边: 0.2 %延边: 0.2 %张家口: 4.1 %张家口: 4.1 %徐州: 0.2 %徐州: 0.2 %德州: 0.1 %德州: 0.1 %德罕: 0.1 %德罕: 0.1 %成都: 1.2 %成都: 1.2 %扬州: 0.2 %扬州: 0.2 %拉贾斯坦邦: 0.3 %拉贾斯坦邦: 0.3 %揭阳: 0.2 %揭阳: 0.2 %无锡: 1.1 %无锡: 1.1 %昆明: 2.2 %昆明: 2.2 %晋中: 0.5 %晋中: 0.5 %朝阳: 0.2 %朝阳: 0.2 %杭州: 1.8 %杭州: 1.8 %桂林: 0.6 %桂林: 0.6 %武威: 0.2 %武威: 0.2 %武汉: 1.8 %武汉: 1.8 %江门: 0.2 %江门: 0.2 %沈阳: 1.6 %沈阳: 1.6 %泰州: 0.3 %泰州: 0.3 %泸州: 0.1 %泸州: 0.1 %洛阳: 0.5 %洛阳: 0.5 %济南: 0.7 %济南: 0.7 %海口: 0.2 %海口: 0.2 %海得拉巴: 0.3 %海得拉巴: 0.3 %淄博: 0.1 %淄博: 0.1 %深圳: 1.4 %深圳: 1.4 %温哥华: 0.1 %温哥华: 0.1 %温州: 0.3 %温州: 0.3 %湖州: 0.3 %湖州: 0.3 %漯河: 1.1 %漯河: 1.1 %潍坊: 0.1 %潍坊: 0.1 %焦作: 0.1 %焦作: 0.1 %石家庄: 0.6 %石家庄: 0.6 %福州: 0.3 %福州: 0.3 %绍兴: 0.1 %绍兴: 0.1 %绥化: 0.2 %绥化: 0.2 %绵阳: 0.1 %绵阳: 0.1 %芒廷维尤: 19.5 %芒廷维尤: 19.5 %芝加哥: 0.6 %芝加哥: 0.6 %苏州: 0.4 %苏州: 0.4 %莆田: 0.4 %莆田: 0.4 %菏泽: 0.5 %菏泽: 0.5 %葫芦岛: 0.1 %葫芦岛: 0.1 %蚌埠: 0.1 %蚌埠: 0.1 %衡水: 0.2 %衡水: 0.2 %西宁: 1.7 %西宁: 1.7 %西安: 1.7 %西安: 1.7 %西雅图: 0.1 %西雅图: 0.1 %贵阳: 0.4 %贵阳: 0.4 %运城: 0.2 %运城: 0.2 %遵义: 0.2 %遵义: 0.2 %邯郸: 0.5 %邯郸: 0.5 %郑州: 0.6 %郑州: 0.6 %重庆: 3.4 %重庆: 3.4 %金华: 0.2 %金华: 0.2 %铁岭: 0.2 %铁岭: 0.2 %银川: 0.1 %银川: 0.1 %长春: 1.2 %长春: 1.2 %长沙: 4.9 %长沙: 4.9 %阜新: 0.1 %阜新: 0.1 %阜阳: 0.1 %阜阳: 0.1 %阳江: 0.2 %阳江: 0.2 %阳泉: 0.1 %阳泉: 0.1 %随州: 0.1 %随州: 0.1 %青岛: 1.9 %青岛: 1.9 %韶关: 0.1 %韶关: 0.1 %香港: 0.2 %香港: 0.2 %驻马店: 0.2 %驻马店: 0.2 %黄冈: 0.4 %黄冈: 0.4 %其他其他BadenCentral DistrictChinaColumbiaHalfweg[]上海东莞乌鲁木齐九龙伦敦佛山佳木斯克拉玛依六盘水兰州包头北京北方邦十堰南京南充南宁南昌南通厦门台州合肥吉林呼和浩特咸阳哥伦布唐山商洛嘉兴墨尔本大连天水天津太原威海宁波安康宝鸡常州广州延边张家口徐州德州德罕成都扬州拉贾斯坦邦揭阳无锡昆明晋中朝阳杭州桂林武威武汉江门沈阳泰州泸州洛阳济南海口海得拉巴淄博深圳温哥华温州湖州漯河潍坊焦作石家庄福州绍兴绥化绵阳芒廷维尤芝加哥苏州莆田菏泽葫芦岛蚌埠衡水西宁西安西雅图贵阳运城遵义邯郸郑州重庆金华铁岭银川长春长沙阜新阜阳阳江阳泉随州青岛韶关香港驻马店黄冈

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      沈阳化工大学材料科学与工程学院 沈阳 110142

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