Technique of Free Full-Thickness Autodermoplasty for Mammary Glands
Keywords:
mammary glands, burn, consequences of burns, reconstructionAbstract
The study is based on the results of surgical treatment in 46 female patients with post-burn scar deformities of the soft tissues of the breast. According to the variations of scar deformity plastic surgery, all patients were divided into two groups. The main group included 24 patients in whom an improved method of full-thickness free skin grafting was applied, and the comparison group included 22 patients in whom the traditional method of free skin grafting with split-thickness autograft was used.
The proposed method of full-thickness autodermoplasty aims to improve graft survival by ensuring its tight adherence and reducing the risk of graft contraction.
The long-term results from the main group led to a reduction in the frequency of late complications from 33.3% to 8.3%, resulting in an improvement in the rate of favorable outcomes from 63.6% to 83.3%.
References
Alexeev A.A., Tyurnikov Y.I. Key statistical indicators of the work of burn centers in the Russian Federation for the year 2015 // Proceedings of the All-Russian Scientific and Practical Conference with International Participation "Thermal Injuries and Their Consequences." – Yalta, 2016. – P. 17-20.
Dmitriev G.I. Method of local skin grafting // Bulletin of the Russian Academy of Medical Sciences. 2013. No. 4. URL: https://cyberleninka.ru/article/n/metod-mestnoy-kozhnoy-plastiki.
Karimdjanov I.U., Rakhimov S.R., Madazimov M.M. Ways to improve the effectiveness of surgical treatment of post-burn scar deformities of the soft tissues of the trunk in children. Electronic scientific and practical journal. Combustiology. 2003. No. 14.
Kurbanov U.A., Saidov I.S., Davlatov A.A., Dzhanobilova S.M., Kholov Sh.I. Surgical treatment of post-burn scar deformities of the female breast // Avicenna Bulletin. 2018. No. 4. URL: https://cyberleninka.ru/article/n/hirurgicheskoe-lechenie-posleozhogovyh-rubtsovyh-deformatsiy-zhenskoy-grudi.
Madazimov M.M., Karimdjanov I.U., Sadykova M.A. Method of surgical treatment of post-burn scar deformities of the trunk // Surgery of Uzbekistan.- 2000.- No. 4.- P.27-29.
Kilburn N, Dheansa B. Socioeconomic impact of children’s burns-a pilot study. Burns J Int Soc Burn Inj. 2014;40:1615-23. doi: 10.1016/j.burns.2014.03.006.
Wasiak J, Lee SJ, Paul E, Mahar P, Pfitzer B, Spinks A, et al. Predictors of health status and health-related quality of life 12 months after severe burn. Burns J Int Soc Burn Inj. 2014;40:568–74. doi: 10.1016/j.burns.2014.01.021.
