[Autodermoplasty in the treatment of trophic ulcers of the lower extremities]

Abstract

Experience with the treatment of 402 patients with trophic ulcers of lower extremities of venous etiology is presented. Operations correcting the venous outflow were added by autodermoplasty in 366 patients. Autodermoplasty after Yanovich--Chainski--Davis was fulfilled in 323 patients, dermatome autodermoplasty--in 41 patients, with a whole thickness perforated flap taken from the upper part of the postoperative wound on the shin--in 38 patients. Partial rejection of the transplant was observed in 10,2%, complete rejection of the transplant--in 5,7% of the cases. Advantages of a combination of correction of the venous outflow with autodermoplasty are shown. The application of Combutecum on the donor and recipient zones has considerably reduced the number complications after autodermoplasty.