Email Alerts
RSS
Volume 39 Issue 9
Sep.  2023
Turn off MathJax
Article Contents
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.
shu

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

More Information
    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.

     

    • FullText(HTML)
  • loading
    • References(18)
  • [1]
    JiaF, Wagle ShuklaA, HuW, et al. Deep brain stimulation at variable frequency to improve motor outcomes in Parkinson's disease[J]. Mov Disord Clin Pract, 2018, 5(5):538-541. DOI: 10.1002/mdc3.12658.
    [2]
    KraussJK, LipsmanN, AzizT, et al. Technology of deep brain stimulation: current status and future directions[J]. Nat Rev Neurol, 2021,17(2):75-87. DOI: 10.1038/s41582-020-00426-z.
    [3]
    HamaniC, LozanoAM. Hardware-related complications of deep brain stimulation: a review of the published literature[J]. Stereotact Funct Neurosurg, 2006,84(5/6):248-251. DOI: 10.1159/000096499.
    [4]
    JitkritsadakulO, BhidayasiriR, KaliaSK, et al. Systematic review of hardware-related complications of Deep Brain Stimulation: do new indications pose an increased risk?[J]. Brain Stimul, 2017,10(5):967-976. DOI: 10.1016/j.brs.2017.07.003.
    [5]
    ZhouR, MaY, LiuW, et al. Long-term effect of modified incision to prevent related complications in deep brain stimulation[J]. World Neurosurg, 2018,117:280-283. DOI: 10.1016/j.wneu.2018.05.224.
    [6]
    李学雷, 江奕恒, 钟世镇. 大网膜移植的应用解剖[J]. 中华显微外科杂志, 2011,34(4):305-308. DOI: 10.3760/cma.j.issn.1001-2036.2011.04.014.
    [7]
    Liebermann-MeffertD. The greater omentum. Anatomy, embryology, and surgical applications[J]. Surg Clin North Am, 2000, 80(1):275-293, xii. DOI: 10.1016/s0039-6109(05)70406-0.
    [8]
    Meza-PerezS, RandallTD. Immunological functions of the omentum[J]. Trends Immunol, 2017,38(7):526-536. DOI: 10.1016/j.it.2017.03.002.
    [9]
    SridharD, RajuK, SharmaR, et al. Parietal peritoneal flap for post-radiation bladder injury repair[J]. Indian J Surg Oncol, 2022,13(3):594-597. DOI: 10.1007/s13193-021-01485-4.
    [10]
    BruceWJ, OllaDR, FeimsterJW, et al. Transretroperitoneal pedicled omental flap for coverage of traumatic sacral defect: a case report[J]. Plast Reconstr Surg Glob Open, 2022,10(5):e4298. DOI: 10.1097/GOX.0000000000004298.
    [11]
    MalathiL, DasS, NairJ, et al. Chest wall reconstruction: success of a team approach-a 12-year experience from a tertiary care institution[J]. Indian J Thorac Cardiovasc Surg, 2020,36(1):44-51. DOI: 10.1007/s12055-019-00841-y.
    [12]
    黄志锋, 郑少逸, 赖文, 等. 大网膜轴型瓣转移修复胸部难愈创面的临床效果[J]. 中华烧伤杂志, 2016, 32(7): 429-431. DOI: 10.3760/cma.j.issn.1009-2587.2016.07.010.
    [13]
    蔡沄晅, 李殿友, 占世坤, 等. 脑深部电刺激脉冲发生器更换手术的并发症分析[J].中华神经医学杂志, 2018,17(10):1024-1027. DOI: 10.3760/cma.j.issn.1671-8925.2018.10.010.
    [14]
    AndersonJM, RodriguezA, ChangDT. Foreign body reaction to biomaterials[J]. Semin Immunol, 2008, 20(2):86-100. DOI: 10.1016/j.smim.2007.11.004.
    [15]
    KlopfleischR, JungF. The pathology of the foreign body reaction against biomaterials[J]. J Biomed Mater Res A, 2017,105(3):927-940. DOI: 10.1002/jbm.a.35958.
    [16]
    Fernández-PajarínG, SesarA, AresB, et al. Delayed complications of deep brain stimulation: 16-year experience in 249 patients[J]. Acta Neurochir (Wien), 2017,159(9):1713-1719. DOI: 10.1007/s00701-017-3252-7.
    [17]
    SheikhZ, BrooksPJ, BarzilayO, et al. Macrophages, foreign body giant cells and their response to implantable biomaterials[J]. Materials (Basel), 2015,8(9):5671-5701. DOI: 10.3390/ma8095269.
    [18]
    BarbeckM, BoomsP, UngerR, et al. Multinucleated giant cells in the implant bed of bone substitutes are foreign body giant cells-new insights into the material-mediated healing process[J]. J Biomed Mater Res A, 2017,105(4):1105-1111. DOI: 10.1002/jbm.a.36006.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (185) PDF downloads(15) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return