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METHOD FOR POSTOPERATIVE WOUND REPAIR FOLLOWING BELOW KNEE AMPUTATION IN PATIENTS WITH OBLITERATING VESSEL DISEASE OF LOWER EXTREMITIES
METHOD FOR POSTOPERATIVE WOUND REPAIR FOLLOWING BELOW KNEE AMPUTATION IN PATIENTS WITH OBLITERATING VESSEL DISEASE OF LOWER EXTREMITIES
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机译：下肢闭塞性血管病患者膝关节切除术后的术后创面修复方法
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摘要
FIELD: medicine.;SUBSTANCE: lower extremity is amputated; anterior and posterior flaps are formed by an incision up to the muscular fascia or the periosteum, the wound is closed. Skin flaps of the same length are cut out. Primarily delayed uninterrupted subcuticular sutures are applied on the wound with a non-traumatic filament. The sutures are applied in fragments on three wound sections of the same length at three stages. An interrupted suture is applied from a lateral corner of the wound; the filament is brought intradermally in parallel with the vascular tree and brought out from the posterior skin flap, and transected at 7 cm from the skin. A suture needle is pricked in the skin from the anterior skin flap; the filament is delivered intradermally opposite to the shin bone saw line, and brought out from the posterior skin flap, and transected at 7 cm from the skin. An interrupted suture is applied from a medial corner of the wound; the filament is brought intradermally and brought out from the anterior skin flap, and transected at 7 cm from the skin. The sutures are left untight, and the skin is not jointed for 24-48 hours. If observing the following subcritical course of the wound process, the sutures are tightened, and the skin is closed tightly. If observing the complications within the wound cavity, the postoperative sutures are separated on one of the sections in an immediate proximity from the lesion to be approached for the wound sanitation and aeration.;EFFECT: method enables reducing the number for purulent-necrotic complications.;2 ex, 1 dwg
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