par Boisdenghien, Annie 
Référence Rivista italiana di chirurgia plastica, 16, 1, page (195-199)
Publication Publié, 1984
Référence Rivista italiana di chirurgia plastica, 16, 1, page (195-199)
Publication Publié, 1984
Article révisé par les pairs
| Résumé : | The author reminds the readers of the problems encoutered in the treatment of large and deep burns of the superior limb. She describes the different steps of the treatment in one case, and makes propositions to reduce the numbers of operations. The first urgent treatment consists of the excisions of necrosis structure by structure. The second step includes the various reconstructive operations: split skin grafting; large thoraco-epigastric flap; temporary full thickness skin grafting. The vascularisation of the initially thought of therapeutic flap is visualized by the Doppler effect. The pattern is eventually modified to obtain three arteries in the pedicle. The flap can be placed in one step without delay. The multiple factors playing a role in the survival of the flap are repated from the data of the literature or the subject. |
