Surgical treatment of the parieto-occipital region extensive scalped wound
https://doi.org/10.25199/2408-9613-2021-8-1-42-49
Abstract
In the presented clinical case, we consider the surgical treatment of a 9-year-old girl with an extensive post-traumatic scalp wound in the parieto-occipital region resulting from hair getting into the moving mechanism of a go-kart car and incomplete separation of the scalp in the parieto-occipital region of the head. The early postoperative period (surgical treatment with primary wound closure) was complicated by the development of skin necrosis. An extensive wound defect in the soft tissues of the scalp (up to 150 cm2) was replaced with local related tissues. For this, various methods of plastic surgery were used in different areas of the wound defect: plastic surgery with local tissues, replacement of the defect with a rotated fascio-cutaneous flap and plastic surgery with local tissues using the dosed stretching method. The combined use of these methods made it possible to completely restore full-fledged soft tissues and hair of the injured parieto-occipital region.
About the Authors
V. А. Mitish
Federal State Budgetary Institution “A. V. Vishnevsky National Medical Research Center of Surgery” Ministry of Health of Russia; Federal State Autonomous Educational Institution of Higher Education “Peoples’ Friendship University of Russia”
Russian Federation
Russian Federation
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
8 Miklukho-Maklaya Str., Moscow, 117198
P. V. Medinsky
Federal State Budgetary Institution “A. V. Vishnevsky National Medical Research Center of Surgery” Ministry of Health of Russia
Russian Federation
Russian Federation
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
V. G. Bagaev
Federal State Budgetary Institution “A. V. Vishnevsky National Medical Research Center of Surgery” Ministry of Health of Russia
Russian Federation
Russian Federation
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
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Review
For citations:
Mitish V.А., Medinsky P.V., Bagaev V.G. Surgical treatment of the parieto-occipital region extensive scalped wound. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2021;8(1):42-49. (In Russ.) https://doi.org/10.25199/2408-9613-2021-8-1-42-49
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