Work accident causes old man to lose skin on entire top of foot

On January 26, Major - Specialist Doctor 1 Than Van Hung, Deputy Head of the Department of Burns - Plastic Surgery, Military Hospital 175 , said that patient T. suffered complex injuries, requiring a plan to cover the soft tissue defect and restore function early.

After taking a CTA (computed tomography angiography), it was discovered that patient T. had atherosclerosis and narrowing of blood vessels in the lower limbs, reducing blood flow to the damaged area. This made it difficult to transfer a skin flap with a vascular pedicle from the lower leg. In addition, the patient was old, so if performed, it would affect his health and recovery ability.

Patient's foot with multiple wounds and complete loss of skin on the instep

Recognizing this as a difficult case, however, with the desire to help the patient recover from the wound as well as ensure early motor function, the team of doctors decided to apply microplastic surgery techniques to cover the defect.

The surgery was performed by two teams led by Dr. Than Van Hung. One team will peel off the skin flap from the anterior thigh with a separate vascular pedicle, while the other team will prepare the recipient blood vessel source in the instep of the right foot, then suture the skin flap to the recipient vessel under a surgical microscope.

Patient recovering from microsurgery

After nearly 6 hours, the surgery was completed, the pink skin flap completely covered the wound. After 7 days of continuous monitoring, the patient was stable, the skin flap was alive, the surgical wound was clean and dry, the patient could move and walk gently. This proved the success of the complex surgery using microplastic surgery techniques.

Dr. Hung said that microsurgery is the highest technique on the plastic surgery ladder to treat soft tissue defects, using microscopes and specialized tools to restore small and microscopic structures such as blood vessels and nerves with diameters of less than 1 mm to several mm. This technique has become an effective treatment for complex injuries, not only helping patients restore soft tissue defects, but also helping them restore function and aesthetics, improving their quality of life.

Source link: https://thanhnien.vn/tai-nan-lao-dong-khien-cu-ong-bi-mat-da-toan-bo-mu-ban-chan-185240126171055427.htm