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Volume 39 Issue 9
Sep.  2023
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2023  >  39(9): 882-885
Guan HN,Ma X,Liu YK,et al.Clinical effects of pedicled omental flap transplantation in repairing secondary rejection wounds after brain pacemaker implantation[J].Chin J Burns Wounds,2023,39(9):882-885.DOI: 10.3760/cma.j.cn501225-20220907-00396.
Citation: Guan HN,Ma X,Liu YK,et al.Clinical effects of pedicled omental flap transplantation in repairing secondary rejection wounds after brain pacemaker implantation[J].Chin J Burns Wounds,2023,39(9):882-885.DOI: 10.3760/cma.j.cn501225-20220907-00396.
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Clinical effects of pedicled omental flap transplantation in repairing secondary rejection wounds after brain pacemaker implantation

doi: 10.3760/cma.j.cn501225-20220907-00396
  • 1.

    Wound Repair Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Wound Repair Research Center, Shanghai 200025, China

  • 2.

    Department of Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Funds:

Special Program for Trauma Repair of Science and Technology Action Plan of Major Disease Prevention and Treatment of National Health Committee of China 2017ZX01001

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    Abstract
  •   Objective   To explore the clinical effects of pedicled omental flap transplantation in repairing secondary rejection wounds after brain pacemaker implantation.   Methods   A retrospective observational study was conducted. From January to August 2021, 5 patients with secondary rejection wounds after brain pacemaker implantation who met the inclusion criteria were admitted to the Wound Repair Center of Ruijin Hospital of Shanghai Jiao Tong University School of Medicine, including 3 males and 2 females, aged 56-69 years, with the wound developed at the pulse generator implantation site in the chest in 2 cases, at the connection site of the wire and electrode behind the ear in 2 cases, and at both the chest and the back of the ear in 1 case. All the wounds were repaired by pedicled omental flap transplantation. The wound area after debridement was 2-15 cm 2. After operation, the wound healing and related complications (pain, infection, incisional hernia, omental flap necrosis, etc.) were observed. During follow-up, the recurrence of the wound was observed.   Results   The wounds of all 5 patients healed within 2 weeks after operation, without related complications. During follow up of 12-18 months, 1 patient got a recurrence of rejection wound behind the left ear 4 months after surgery and eventually had the brain pacemaker removed; the other 4 patients had no recurrence of wounds.   Conclusions   Pedicled omental flap transplantation can repair the secondary rejection wounds after brain pacemaker implantation safely and effectively, with few postoperative complications.

     

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