Treatment of hostile midline back wounds: an extreme approach

The basic principles of successful wound closure remain the same: careful preoperative evaluation, removal of underlying nonviable tissue, and well-vascularized soft-tissue coverage. Many complex or "hostile" back wound closures also require stabilization of the spine and a two-layered wou...

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Bibliographic Details
Published inPlastic and reconstructive surgery (1963) Vol. 105; no. 7; p. 2448
Main Authors Few, J W, Marcus, J R, Lee, M J, Ondra, S, Dumanian, G A
Format Journal Article
LanguageEnglish
Published United States 01.06.2000
Subjects
Arteriovenous Anastomosis
Back - blood supply
Carotid Arteries - surgery
Cervical Vertebrae - surgery
Fracture Fixation, Internal - adverse effects
Humans
Male
Middle Aged
Multiple Myeloma - complications
Multiple Myeloma - radiotherapy
Radiation Injuries - complications
Radiation Injuries - etiology
Spinal Fractures - complications
Spinal Fractures - surgery
Thoracic Vertebrae - surgery
Veins - surgery
Wound Healing - radiation effects
Wounds and Injuries - etiology
Wounds and Injuries - surgery
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Summary:The basic principles of successful wound closure remain the same: careful preoperative evaluation, removal of underlying nonviable tissue, and well-vascularized soft-tissue coverage. Many complex or "hostile" back wound closures also require stabilization of the spine and a two-layered wound closure. The use of long arteriovenous fistulas with free tissue transfer provides an additional weapon for the treatment of these complex wounds.
ISSN:0032-1052
DOI:10.1097/00006534-200006000-00022