Surgical outcomes of split-thickness skin grafts versus free flaps of the lateral thoracic region for incurable chronic venous ulcers
DC Field | Value | Language |
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dc.contributor.author | Seo, Hyun Joon | - |
dc.contributor.author | Park, Seong Oh | - |
dc.contributor.author | Kim, Youn Hwan | - |
dc.date.accessioned | 2023-05-09T05:37:23Z | - |
dc.date.available | 2023-05-09T05:37:23Z | - |
dc.date.created | 2023-05-03 | - |
dc.date.issued | 2022-12 | - |
dc.identifier.issn | 2586-3290 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/185504 | - |
dc.description.abstract | Purpose: This study conducted a comparative analysis of the effectiveness of split-thickness skin grafts (STSGs) and free flaps of the lateral thoracic region performed for coverage after extensive debridement in patients with difficult-to-treat chronic venous ulcers (CVUs) with severe symptoms. Methods: This retrospective, single-center study included 20 patients (28 cases) with CVUs. Patients who received an STSG or free-flap procedure were included in the study. Data comparing these two groups were analyzed. Results: The STSG and free-flap groups showed no significant differences in patient demographics. There was no significant difference in wound size before and after debridement between the two groups (before, 52.25±58.03 cm2 vs. 37.69±32.83 cm2, p=0.407; after, 210.92±202.80 cm2 vs. 142.63±84.01 cm2, p=0.291). Wound disruption was not significantly different between the groups (p=0.231). However, a significant difference was found in recurrence between the STSG group (n=7, 58.3%) and the free-flap group (n=1, 6.3%) (p=0.004). Conclusion: Free-flap surgery may be a good option for difficult-to-treat, recurrent CVU. Because venous ulcers require extensive debridement, a lateral thoracic region free flap, which enables the harvest of large and various forms of flaps, could be the best choice for microsurgery. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | 대한수부외과학회 | - |
dc.title | Surgical outcomes of split-thickness skin grafts versus free flaps of the lateral thoracic region for incurable chronic venous ulcers | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, Seong Oh | - |
dc.contributor.affiliatedAuthor | Kim, Youn Hwan | - |
dc.identifier.doi | 10.12790/ahm.22.0052 | - |
dc.identifier.bibliographicCitation | Archives of Hand and Microsurgery, v.27, no.4, pp.329 - 335 | - |
dc.relation.isPartOf | Archives of Hand and Microsurgery | - |
dc.citation.title | Archives of Hand and Microsurgery | - |
dc.citation.volume | 27 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 329 | - |
dc.citation.endPage | 335 | - |
dc.type.rims | ART | - |
dc.identifier.kciid | ART002901514 | - |
dc.description.journalClass | 2 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordAuthor | Venous ulcer | - |
dc.subject.keywordAuthor | Skin transplantation | - |
dc.subject.keywordAuthor | Free tissue flaps | - |
dc.identifier.url | https://www.handmicro.org/journal/view.php?doi=10.12790/ahm.22.0052 | - |
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