Reconstruction of tibial exposure with local muscular flap, VSD and skin transplantation / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the treatment for tibial exposure wounds.</p><p><b>METHODS</b>39 patients with tibial exposure wounds were divided into three groups according to the exposure location (upper, medium and below). The local muscular flaps were designed to cover the tibial exposure, followed by skin grafts and VSD. VSD was removed one week later.</p><p><b>RESULTS</b>All the muscular flap and skin graft survived. Mild epidermis erosion happened in 2 cases, which healed spontaneously after dressing. The patients were followed up for 3-6 months with good healing and no walking malfunction.</p><p><b>CONCLUSIONS</b>The local muscular flap combined with skin graft and VSD is a simple and effective method for tibial exposure wound with short healing time and high successful rate.</p>

The role of continuous vacuum sealing drainage in the prevention of lymph leakage after inguinal lymph nodes dissection / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the clinical application of the vacuum-sealing drainage (VSD) in the prevention of lymph leakage after inguinal lymphadenectomy.</p><p><b>METHODS</b>From September 2003 to September 2013, 60 cases who underwent inguinal lymph nodes dissection received VSD (n = 30), or traditional pressure dressing and drainage( control group, n = 30) after operation. The flap blood supply, healing process and incidence rate of lymph leakage were observed.</p><p><b>RESULTS</b>Twenty-eight cases in VSD group were effective. Eleven cases were cured, ten cases were effective, and nine cases were invalid in control group. The cure rate, effective rate and healing period were significantly different between the two groups (P < 0.01).</p><p><b>CONCLUSIONS</b>The incidence of lymph leakage after inguinal lymphadenectomy can markedly decrease with VSD application. VSD could be an ideal preventive method for post-operative lymph leakage.</p>