Vacuum Sealing Drainage Combined with Gluteus Maximus Myocutaneous Flap for Repair of Deep Wound in the Buttocks

XU Xuebing; SHI Changqian; TANG Yifu; SI Ying; ZHANG Xiaoqi; LI Qiang

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Medical Journal of the Chinese People Armed Police Forces ›› 2021, Vol. 32 ›› Issue (5) : 396-398.

ORIGINAL ARTICLES

Vacuum Sealing Drainage Combined with Gluteus Maximus Myocutaneous Flap for Repair of Deep Wound in the Buttocks

XU Xuebing¹, SHI Changqian², TANG Yifu¹, SI Ying², ZHANG Xiaoqi¹, LI Qiang³

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Abstract

Objective To investigate the clinical effect of vacuum sealing drainage combined with gluteus maximus myocutaneous flap for repair of deep wound in the buttocks.Methods From July 2012 to July 2019,35 cases of deep wound in the buttocks were treated with vacuum sealing drainage combined with gluteus maximus myocutaneous flap. The wound area ranged from 5 cm×6 cm to 15 cm×25 cm.The patients were treated with the corresponding drug treatment and nutritional support after admission,and were treated with vacuum sealing drainage after a period of debridement.The second stage was treated with gluteus maximus myocutaneous flap.Results All the flaps survived completely in 35 cases and the donor area healed. The shape and functions were satisfactory after a follow–up of 3 months to 2 years.Conclusions Vacuum sealing drainage combined with gluteus maximus myocutaneous flap can be used to repair deep wound in the buttocks,with the advantages of reducing the wound complications and the high cure rate,and it is a safe and reliable treatment method.

Key words

vacuum sealing drainage / gluteus maximus myocutaneous flap / deep wound

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XU Xuebing, SHI Changqian, TANG Yifu, SI Ying, ZHANG Xiaoqi, LI Qiang. Vacuum Sealing Drainage Combined with Gluteus Maximus Myocutaneous Flap for Repair of Deep Wound in the Buttocks[J]. Medical Journal of the Chinese People Armed Police Forces. 2021, 32(5): 396-398

References

[1] 胥学冰,张晓启,司迎,等.负压封闭引流术治疗肛周坏死性筋膜炎17例[J].武警医学,2020,31(7):605-607.
[2] Kim P J,Attingeri C E,Steinberg J S,et al. Negative-pressure wound therapy with instillation:international consensus guidelines[J].Plast Reconstr Surg,2013,132(6):1569-1579.
[3] 黄静,牛占国,叶东成,等.封闭负压双腔引流技术在骶尾部难治性压疮皮瓣修复术后的临床应用[J].中国实用医药,2015,10(21):97-98.
[4] 兰思根,顾如山,肖国毅,等.30例老年患者臀骶尾部Ⅲ期和Ⅳ期压疮的治疗体会[J].健康必读杂志,2012,5(5):4-6.
[5] 张锦锋,杨道能,李志亮,等. 臀大肌带蒂肌皮瓣结合负压封闭引流技术在褥疮创面修复中应用研究[J]. 中医临床研究,2017,9(6):103 -104.
[6] 张丽君,缪玉兰.负压封闭引流技术在烧伤治疗中的研究进展[J]医学综述,2019, 25(11):2228-2232,2237.
[7] Chantal M,Margreet C V, Gert C M,et al.Bacterial load in relation to vacuum-assisted closure wound therapy: A prospective randomized trial[J].Wound Repair & Regeneration,2004,12(1):11-17.
[8] 周仙颖.负压封闭引流与臀大肌肌皮瓣转移联合用于骶尾部难治性褥疮修复中的效果[J].中国医疗美容,2017,7(9):38-40.
[9] 吴丽娟.封闭负压吸引配合臀大肌肌皮瓣修复骶尾部褥疮的临床效果分析[J].家庭医药,2018,5(5):164.
[10] 黄啟云,林红华,朱敏.应用全臀大肌旋转肌皮瓣修复骶尾部压疮的研究进展[J].当代医药论丛,2018,16(21):20-21.
[11] 黄啟云,林红华.改良全臀大肌旋转肌皮瓣治疗骶尾部压疮的疗效观察[J].实用骨科杂志,2019,25(8):746-748.