Sharmalindholm1907

Many reasons can cause damage to a certain part of body, with the damaged tissue showing some corresponding characteristics. There are many uncertainties in the repair of damaged body parts, making it difficult to achieve the ideal function and appearance. In recent years, the repair of mangled injury has made significant progress, but it still faces many challenges. Based on the clinical practice and the current progress in the assessment and repair of mangled injury, this paper summarizes the causes, clinical features, injury assessment, treatment options, repair measures, and the risks of limb salvage, and then puts forward some personal opinions on the definition of mangled injury and treatment strategy optimization for reference.Objective To explore the application strategy and clinical effects of paraumbilical perforator flap with inferior epigastric vessels in repairing various destructive wounds. Methods The retrospective observational study method was applied. From January 2015 to December 2020, 28 patients (21 males and 7 females, aged 25 to 66 years) with destructive wounds in various body parts were admitted to Beijing Jishuitan Hospital. The wound areas of patients ranged from 17 cm×8 cm to 35 cm×22 cm after debridement. Pedicled or free paraumbilical perforator flaps with inferior epigastric vessels were used to repair the wounds respectively. The areas of flaps were from 18 cm×10 cm to 37 cm×24 cm, and the lengths of vascular pedicles were 13.0-17.0 (15.1±2.3) cm. For type Ⅲ high-voltage electric burn wounds of wrist, two methods were used to reconstruct the blood flow of hand, one is to bridge the radial artery with saphenous vein grafting and the other one is to design blood flow-through flap. The strength of abdominal wafor cut. It can be pedicled or freely transplanted, which is a good choice for repairing destructive wounds in various areas.Objective To explore the clinical effects of using skin and soft tissue expander (hereinafter referred to as expander) expanded flap in repair of the exposed wounds of titanium mesh after cranioplasty with titanium mesh. Methods A retrospective cohort study was conducted. From April 2015 to October 2019, 13 patients with exposed wounds of titanium mesh after cranioplasty with titanium mesh were admitted to the First Affiliated Hospital of Air Force Medical University, including 10 males and 3 females, aged 18 to 70 years. The time of exposure of titanium mesh wounds appeared was 3 months to 4 years after cranioplasty with titanium mesh. The exposed wound area of titanium mesh ranged from 1.5 cm×0.6 cm to 6.3 cm×6.0 cm. In the first stage, one or two square expanders with rated capacity of 50-200 mL were placed under the normal scalp 1 cm away from the edge of the exposed wound surface of the titanium mesh. The water injection time was 2 to 3 months with the total water injection volume being 1.6 to 2.0 times titanium mesh was retained in patients of this group, the incisions were healed well, with concealed scar and good appearance of scalp. Conclusions Using expanded flap in repair of the exposed wounds of titanium mesh after cranioplasty with titanium mesh can effectively repair the exposed wound and retain the titanium mesh, as well as acquire good function and shape.Objective To explore the repair methods and clinical effects of full-thickness burn wounds deep to tendon or even bone in fingers. Methods A retrospective non-randomized controlled trial was conducted on the 98 patients with full-thickness finger burns deep to tendon or even bone who met the inclusion criteria and were hospitalized in Xiangya Hospital of Central South University from January 2010 to December 2019. Among the 98 patients, there were 81 males and 17 females, aged from 1 to 72 years, with 160 fingers involved. The wound area of each of affected fingers ranged from 2.0 cm×1.5 cm to 12.0 cm×3.5 cm, and the maximum wound area after merging the affected fingers was 12.0 cm×10.0 cm. For adult hands with multiple full-thickness burn wounds deep to tendon or even bone in multiple fingers or children with full-thickness finger burns deep to tendon or even bone, pedicled abdominal flaps were selected. For adults with single or two fingers with full-thickness burns deep to tendon or even bone, the pedicledburn deep to tendon or even bone, with high postoperative tissue flap survival rate and few complications. The functional recovery of the affected finger is better after repair with free tissue flap and pedicled internal hand flap, and the patients' satisfaction is the highest after free tissue flap repair.Objective To study the epidemiological characteristics of inhalation injury in burn patients in China. Etomoxir in vivo Methods The systematic review method was performed. Chinese Journal Full-text Database, Wanfang Database, and Chinese Biomedical Literature Database were searched with the Chinese search terms of ", , ", and PubMed and Embase were searched with the search terms of "burns, inhalation injury" to retrieve the collected retrospective studies on the epidemiological characteristics of inhalation injury in burn patients in China from the establishment of each database to January 2019. Data were extracted from the included articles, including the first author, study institution, study period, study subjects, number of burn patients, incidence of inhalation injury, and gender, age, causes of injury, mortality, and causes of death in patients with inhalation injury. Results A total of 24 articles were included in this study with the first authors being from multiple research institutions across the country. The articleased significantly compared with the previous period. The causes of death in patients with inhalation injury included upper respiratory tract obstruction, sepsis, respiratory failure, and severe pulmonary infection. Conclusions From 1958 to 2016, there is no obvious trend in the incidence of inhalation injury among burn patients in China; the incidence of inhalation injury is high in young and middle-aged males, and the main cause of inhalation injury is flame burn. The mortality of inhalation injury generally decreased since 2000 compared with the previous period.