When you look at the second stage, personalized surgery scheme was developed based on the patient’s age, systemic condition, vascular problem, and the place, dimensions, and level of wound. Six situations were reconstructed with superior/inferior gluteal artery perforator flaps, 4 instances had been repaired with gluteus maximus myocutaneous flaps, 1 situation ended up being repaired with pedicled latissimus dorsi myocutaneous flap, and 1 instance ended up being reconstructed with free tpatient fixed with gluteus maximus myocutaneous flap had hematoma under myocutaneous flap, and 1 client repaired with retrograde latissimus dorsi myocutaneous flap had incision exudation and dehiscence, that have been all healed after dressing change, etc. There was no recurrence of cyst following the operation CMC-Na . The injuries healed well during followup of 2-52 months after discharge, with no recurrence of disease, and also the flaps were smooth in surface, with satisfactory appearance and really healed donor sites. Conclusions based on thorough debridement and VSD in the first stage, superior/inferior gluteal artery perforator flap, gluteus maximus myocutaneous flap, or pedicled/free latissimus dorsi myocutaneous flap with plentiful blood supply is used to correct chronic sacrococcygeal radiation ulcer into the 2nd stage. The staged procedure is trustworthy, with reduced injury to the donor web site of flap and satisfactory healing effect.Objective To investigate the feasibility of negative-pressure wound treatment (NPWT) in the treatment of uncomplicated cardiac pacemaker pocket illness. Methods From January 2013 to March 2020, 35 customers with uncomplicated cardiac pacemaker pocket illness were accepted to your Department of Cardiology of Peking University First Hospital, including 21 men and 14 females, aged 27 to 84 years. The retrospective cohort research was conducted. After a complete debridement followed closely by constant NPWT (with negative stress of -16.67 kPa), the pulse-generator ended up being inserted to the brand-new pocket between the musculus pectoralis major and pectoralis small. Stress drainage tube ended up being put in the old pocket space. NPWT with the exact same mode ended up being made use of once again for 5 to 1 week following the wound was shut. The extracted pocket tissue of customers had been observed with hematoxylin-eosin staining. The injury recovery on 10 to 12 times following the operation of pacemaker replacement was observed, as well as the recurrence of disease ended up being observed during 6 to 42 months follow-up after operation. Outcomes The fibrous sac wall was observed in pocket structure regarding the Prostate cancer biomarkers clients, together with tissue was partially covered with stratified epithelium, with several persistent inflammatory cells infiltration. Multinucleated giant cell reaction had been seen in the muscle of some clients. Ten to twelve days following the operation of pacemaker replacement, 35 customers had good wound healing, and sutures had been removed. After 6 to 42 months follow-up after operation, 31 patients had been healed without any recurrence of infection in addition to injuries had been well-healed; 4 customers who had recurrent illness got whole system of pacemaker elimination following the operation. Conclusions From the idea of full debridement, NPWT is an alternative solution treatment for customers with uncomplicated cardiac pacemaker pocket infection.The writing set of Professional consensus on the application of nitrous oxide and air mixed inhalation for sedation and analgesia technology in burn surgery (2021 version) formulated the consensus through three face-to-face national multi-disciplinary specialist group meetings, incorporating theoretical and working experience direct immunofluorescence , and attracting lessons from application of nitrous oxide and oxygen mixed breathing for sedation and analgesia technology various other disciplines in the home and overseas. The consensus provided detailed explanations regarding the indications, contraindications, feasible complications and matching first-aid actions, application process, procedure conditions, and training regarding the technology in burn surgery, and formulated the relevant plans.Objective To explore the result of autologous epidermis paste on repairing wound of medium-thickness skin donor web site. Practices The prospective randomized managed study technique was used. From October 2018 to December 2019, 18 patients with flame burn or hydrothermal scald, came across the addition criteria were admitted to Jinhua Hospital Affiliated to Zhejiang University School of Medicine, including 15 males and 3 females, elderly (45±6) years, and the injuries were repaired with medium-thickness epidermis grafts. The wound location after medium-thickness skin grafting was (121±33) cm2. The wound of donor site of medium-thickness epidermis graft in each patient was divided into 2 wounds in equal-area and included into autologous skin paste group and main-stream therapy team with random number dining table, with 18 injuries in each group.The injuries in autologous epidermis paste group had been repaired with epidermis paste prepared with continuing to be skin fragments after autologous medium-thickness skin grafting, plus the injuries in mainstream therapy gras substantially reduced than (25.6±2.0) d in main-stream treatment group (t=6.24, P less then 0.01). On 3, 7, 14, 21 d after operation, there have been no complications such as for example subcutaneous effusion and illness in wounds of 2 teams. In 3 months after procedure, ulceration occurred in wounds of 2 customers in autologous epidermis paste team, that was significantly less than 12 customers in old-fashioned therapy team (χ2=11.688, P＜0.01). The wounds with ulceration healed after dressing change.
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