Database : HANSEN Search on : ULCERA DA PERNA/DIAG [Subject descriptor] References found : 3 [refine] Displaying: 1 .. 3   in format [Detailed]

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Id: 17725 Author: Liwen, Dong; Futian, Li; Juan, Jiang; Guocheng, Zhang. Title: Techniques for covering soft tissu defects resulting from plantar ulcers in leprosy: Part V - use of the flap in the inguinal region and latissimus dorsi musculocutaneous flap. Source: In: Wen, Dong Li.Microscopic surgical techniques in leprosy. Shanghai, STD, 2001. p.60-77ilus, tab. Abstract: The area of distribution of the superficial cicunflex iliac, superficial epigastric and superficial external pudental arteries is large and flaps based on them can meet the requirement of different recipient sites. We have transplanted free flaps based on the superficial epigastric artery for repairing plantar soft tissue defects in six leprosy patients. During the follow up examination 58 to 118 months later there has been no recurrence of ulceration in any of these cases. The latissimus dorsi muscle, is mainly nourished by the thoracadorsal artery and the latissimus dorsi musculocutaneous flap is a large sized, composite structure with abundant blood provision and strong anti infectious property. The latissimus dorsi flap can be used as a muscle graft. because ofits constant vascular position, wide outer diameter of the vessels and long pedicle. It can therefore be utilized for repairing soft tissue defect or replacement of paralyzed muscle. We have used the latissimus dorsi musculotacutaneous free flap for repairing large skin and soft tissue defects resulting from plantar ulceration in three leprosy patients. During the follow up period, one patient who had complete drop foot and had refused corrective surgery had recurrence of the ulcer in the 12 post operative month. No ulcers had recurred in the other two cases during the follow up at 48 and 114 months. Descriptors: ULCERA DA PERNA/compl ULCERA DA PERNA/diag ULCERA DA PERNA/cirurg PE/anat PE/cirurg Limits: RELATO DE CASO ESTUDO COMPARATIVO HUMANO Location: Br191.1; WC335.603, W48m

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Id: 17724 Author: Liwen, Dong; Futian, Li; Juan, Jiang; Guochang, Zhang. Title: Techniques for covering soft tissue defects resulting from plantar ulcers in leprosy: Part IV - use of medial leg flap and medial knee flap. Source: In: Wen, Dong Li.Microscopic surgical techniques in leprosy. Shanghai, STD, 2001. p.46-59ilus, tab. Abstract: The medial leg flap, based on the cutaneous branches of the posterior tibial artery is raised from the middle and lower regions of the medial aspect of the leg. It has a long pedicle, and it can be used as a free flap to reconstruct the distant soft tissue and also as an island flap. We have used this retrograde island flap for a surfacing ulcerated areas in six leprosy patients. The flap survived in all cases. At 24 to 60 months follow up examination, ulceration had not recurred in any for them. The medial knee flap consisting of the skin and subcutaneous tissu of lower part of the medial side of the thih and upper part the leg, is suitable for covering soft tissue cushion defects of the extremities because of the constant vessels, long pedicle, wide diameter, well recognizable sensory nerves and less subcutaneous fat. We have used the medial knee flap for the resurfacing sizeable raw areas due to ulceration in there leprosy patients. the flap survived in all cases there was no recurrence of ulceration duriong the 70-148 months follow up period. Descriptors: ULCERA DA PERNA/diag ULCERA DA PERNA/reabil ULCERA DA PERNA/cirurg JOELHO/anorm JOELHO/inerv JOELHO/cirurg Limits: RELATO DE CASO ESTUDO COMPARATIVO HUMANO Location: Br191.1; WC335.603. 48m

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Id: 15008 Author: Martínez Jiménez, Angel; Ruiz, Ligia. Title: Manejo de úlceras de piernas con injertos laminares en enfermos de Hansen. Source: Fontilles - Revista de Leprología;13(3):295-301, Sep.-Dic. 1981. ilus, tab. Abstract: Se estudiaraon 8 pacientes leprosos, de los cuales: 7 fueron lepromatosos y 1 indeterminado, portadores de úlceras de pierna, con una evolución promedio de 12 años, tomándose de cuenta además del estucio clínico, exámenes de laboratorio (hemoglobina, albúminas totales y parciales, colesterol, triglicéridos), actividad baciloscópica y bacteriología de las úlceras que fueron tratados con injertos laminares intermediariso. (AU). Descriptors: HANSENIASE HANSENIASE/diag ULCERA DA PERNA/diag ULCERA DA PERNA/cirurg Electronic Medium: http://www.ilsl.br Location: BR191.1

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