A.B. Sahakyan, G.V. Yaghjyan, O.V. Shamakhyan
CENTER OF PLASTIC AND RECONSTRUCTIVE SURGERY & MICROSURGERY
Republican Burn Center
Yerevan, Armenia
The previously used tactic of III-IV level limited deep burns treatment, that is stage by stage necrectomy, osteonecrectomy, prepairing to wound closure with free skin transplantation, is not rational in the aspect of present medicine.
The aim of this work is revealing the indications to the use of complex axial flaps in surgical treatment of the burn patients.
Material and methods.
Since 1986 till 2000, at Plastic and Reconstructive Surgery & Microsurgery University Center we had 36 patients with burn wounds and postburn scars, which underwent to defect plastic operations with 39 axials flaps.
From our point, the indications to the use of this method in surgical treatment of the burn patients are:
- Large defects, when the methods of traditional plastic operations and the use of local flaps are limited;
- Defects with revealing of important functional structures (bones, muscles, tendons, nerves, dura mater)