Educational Background
-Mongolian National University of Medical Science
-Mongolian Society of Plastic and Reconstructive Surgeons
-Burns center of Mongolia
-National Trauma and Orthopedic Research Center of Ulaanbaatar, Mongolia
-Mongolian National University of Medical Science
-National Trauma and Orthopedic Research Center
-Ach University
Topic: Result of Post-Burn and Trauma Wound's Flap Surgery
Abstract:
Introduction: The estimated annual burn incidence in our country has increased by 2.8% in 2017 compared to the
previous year, by 12% in 2018 and 3.7% in 2019. Most burn patients still experience ongoing functional, psychological
and cosmetic disability from burns. Flap reconstruction surgery is one possible surgical treatment for soft tissue
defects, burn scar contractures, however, a review of evidence on this topic is lacking in our country
Objective: Introduce flap reconstructive surgery into surgical practice and evaluate its effectiveness. Compare flap
reconstruction surgery with traditional conservative methods.
Method: We conducted a study using a cross-sectional study model that included 200 patients who were admitted to
the Burns and Reconstructive Department of the NTORC in between 2015-2020.
Result: The study included 200 patients aged between 1-60 years. We performed flap surgery 3-7 days after the
injury. There were average bed days 11±3 patients with flap surgery, while patients who received traditional
conservative treatment were 21±4. In the assessment of disability period, 95% of the patients who underwent early
reconstruction surgery were fully recovered within 2 months, while 80% of the patients treated with traditional
conservative methods recovered after 4-5 months. Comparison of verage bed days and period of disability in
patients who underwent reconstruction flap surgery and traditionally conservative treatment was statistically
significant. (P <0.05). Among total surgery 88% shows excellent, 10% moderate, 2% poor result. There was no
complication during the surgery. 9 postoperative complications were recorded including 5 skin necrosis of the
fasciocutaneous flap, the blood supply of the fascia were sufficient. It completely healed after a necroectomy with a
free skin graft, 2 skin angle necrosis occurred in Z plasty, which was treated by skin graft, 2 pedicled flap failures.
Conclusion: Surgical outcome revealed that the reconstruction flap surgery for post burn defect was highly effective.
Reconstruction of post-burn defects with flap surgery strongly promotes the healing process, prevents
complications, and reduces the length of hospital days.
