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reconstructive ladder : ウィキペディア英語版
reconstructive ladder
The reconstructive ladder is a term coined by reconstructive plastic surgeons to describe levels of increasingly complex management of wounds.〔ABC of wound healing: BMJ 2006;332;710-712 Reconstructive surgery, D. E. Boyce, K. Shokrollahi〕 The surgeon should start on the lowest rung and move up until a suitable technique is arrived at.
==The ladder==
There are several small variations in the reconstructive ladder〔(sBMJ )〕〔Orthop Clin North Am. 1993 Jul;24(3):393-409, The reconstructive ladder. An orthoplastic approach, L. Levin〕 in the scientific literature, but the principles remains the same:

Rung 1: Healing by secondary intention

Rung 2: Primary closure

Rung 3: Delayed primary closure

Rung 4: Split thickness graft

Rung 5: Full thickness skin graft

Rung 6: Tissue expansion

Rung 7: Random flap

Rung 8: Axial flap

Rung 9: Free flap


抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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