自由穿支筋膜蒂皮瓣在躯干小范围脓肿创面修复中的应用OA

Objective To summarize the clinical application experience of free perforator fascia pedicle flaps in the repair of small abscesses on the trunk.Methods From December 2022 to June 2024,10 cases of small abscesses on the trunk were repaired using free perforator fascia pedicle flaps in the hospital.The abscesses were located on the back(6 cases),waist(2 cases),and abdomen(2 cases).The abscess sizes ranged from 2 cm×2 cm to 5 cm×6 cm,and the wound sizes after debridement ranged from 2 cm×2 cm to 5 cm×7 cm.The flap sizes ranged from 2 cm×4 cm to 5 cm×9 cm.Results Postoperatively,all 10 abscess cavities were successfully repaired,with good flap survival.The treatment duration(from incision and drainage to wound healing)was 13-16 days,significantly shorter than conventional dressing changes.There were no delayed healing cases,no depressed scar formation,and during the follow-up period of 18-36 months,no recurrences were observed.Conclusion The free perforator fascia pedicle flap provides a new approach for managing small abscesses on the trunk.This method enables rapid repair,reduces the frequency of dressing changes and pain,and minimizes abscess recurrence,making it a viable option for repairing small abscesses on the trunk.