Results of two-stage plasty in severe consequences of burns of the upper extremity

Abstract

Aim. To study the immediate and long-term results of the use of non-free flaps in the treatment of patients with the consequences of burns of the upper limb.Material and methods. The study included 32 patients with the consequences of burns of the upper limb, who were admitted to the Republican Scientific Center of Cardiovascular Surgery in the period from 2003 to 2020. The age of the patients ranged from 4 to 32years, the average value was 19.6 ± 1.9 years.Results. There were no intraoperative complications. The average volume of blood loss during one operation was 125.6 ± 11.3 ml (determined by squeezing napkins). The average duration of the operation was 128.6 ± 15.7 minutes. There were no complications after transplantation of a non-free inguinal flap. To achieve a more acceptable aesthetic result, a non-free radial flap was used in a period of five to fifteen years after the primary operation.Conclusion. Thus, the observance of surgical staging depending on the prevalence of one or another lesion component is decided individually and the principles of reconstruction of important anatomical structures shall be strictly followed.