Skin Grafting and Flaps (complete presentation)

7/23/2019 Skin Grafting and Flaps (complete presentation)

1/86

VCB@ MTJA\B@MJ@L AIJXV

DyVjttrjlnjgj Cobsnjk

>tnsok KDDV, @OBMTBNKV

Ko`ter 7 Xrea. @eer \ep`e

NEL, Lopjrtko`t ea Mo`orji Vurmory,

@OBMTBNKV


2/86

E_\IB@O

Nbstery

Vcb`J drboa Tovbow

Vcb` Mrjatb`m

- Fijssbabfjtbe`s

- Jlvj`tjmos / Lbsjlvj`tjmos

- B`lbfjtbe`s / Fe`trjb`lbfjtbe`s- \no Xrefoluro

Vcb` sudstbtutos

Aijps

- Fijssbabfjtbe`s

- Jlvj`tjmos / Lbsjlvj`tjmos

- B`lbfjtbe`s / Fe`trjb`lbfjtbe`s

- \no Xrefoluro

Tofo`t jlvj`fos j`l Auturo

B`struko`ts


3/86

\NO NBV\ETR

New bt

stjrtol..


4/86

B@LBJ \NO ETBMB@

Tofe`struftbvo surmory tofn`bquos usb`m mrjats j`l

aijps erbmb`jtol b` B`lbjdy 4?88-:?88 DF.

Vusnrutj, >88DF,tno ajtnor ea Vurmory, usol aijp arek

tno aeronojl te rofe`struft tno `eso wnbfn njl doo`kutbijtol js pu`bsnko`t aer frbkos sufn js tnoat j`l

jluitory.

\no kolbfji wercs ea detn Vusnrutj j`l Fnjrjcerbmb`jiiy b` Vj`scrbtworo trj`sijtol b`te Jrjdbf

ij`mujmolurb`m tno Jddjsbl Fjibpnjto b` =?8 JL.

\no Jrjdbf trj`sijtbe`s kjlo tnobr wjy b`te Ourepovbj

b`torkolbjrbos.
http://en.wikipedia.org/wiki/Indiahttp://en.wikipedia.org/wiki/Sushrutahttp://en.wikipedia.org/wiki/Charakhttp://en.wikipedia.org/wiki/Sanskrithttp://en.wikipedia.org/wiki/Arabic_languagehttp://en.wikipedia.org/wiki/Arabic_languagehttp://en.wikipedia.org/wiki/Europehttp://en.wikipedia.org/wiki/Europehttp://en.wikipedia.org/wiki/Arabic_languagehttp://en.wikipedia.org/wiki/Arabic_languagehttp://en.wikipedia.org/wiki/Sanskrithttp://en.wikipedia.org/wiki/Charakhttp://en.wikipedia.org/wiki/Sushrutahttp://en.wikipedia.org/wiki/India


5/86

B@LBJ \NO ETBMB@

Jfnjryj Vusnrutj 7 stjtuo jt Njrblwjr j`l b`struko`ts usoldy nbk b` >88 DF .


6/86

O_TEXO \NO TOAB@OTR

Btjiy, :


7/86

:


8/86

48\NFO@\_TR - J@L \NO V\ETR VE AJT..

Deisnovbc roveiutbe` j`l ]] B7 \udol polbfiol mrjatlovoiepol.

:2:=7 Jrfnbdjil KfB`leo j`l Njreil Mbiios poraerkolstjmol prefoluros aer scb` mrjatb`m j`l aijps.

:28s 7 Tosojrfn e` scb` sudstbtutos j`l prjftbfjijppibfjtbe`s.

48:8 7 Vpj`bsn surmoe`s fekpioto tno werils abrst auii-ajfo trj`spij`t e` j 6:-yojr-eil kj` wne njljffblo`tjiiy snet nbksoia wnbio nu`tb`m.


9/86

Vbr Njreil Mbiios poraerkb`m j stjmol ajfbji rofe`struftbe` ea

j dur`t vbftbk lurb`m ]eril ]jr BB .


10/86

\nbs scb` mrjatb`m b`struko`t wjs kjlo dy Lr. Mbikj` Cbrc

lurb`m ]eril ]jr BB arek j` >>kk kertjr snoii.


11/86

VCB@JTOQBO]

Iots drusn bt


12/86

A_@F\BE@V EA \NO VCB@

J) Xretoftbvo djrrbor jmjb`st

- trjukj

- b`aoftbe`s

- rjlbjtbe`s- tokporjturo fnj`mos

D) \norkeromuijtbe` tnreumn

- vjsefe`strbftbe`Yvjselbijtjtbe`

- b`so`sbdio aiubl iess fe`trei


13/86

VCB@ - J@J\EKR

Lbvblol b`te 4 ijyors 7 - opblorkbs (suporabfbji)

- lorkbs (loop)

:.Opblorkbs

- Vtrjtbabol sq opbtnoibuk/corjtb`efytos

- @e dieel vossois

- @utrbtbe` arek u`loriyb`m lorkbs dy

lbaausbe` tnreumn djsoko`t

kokdrj`o.


14/86

VCB@ J@J\EKR .

4.Lorkbs - j) pjpbiijry lorkbsd) rotbfuijr lorkbs

Xjpbiijry lorkbs

- \nb``or ijyor

- Ieeso fe``oftbvo tbssuo

Fe`tjb`s 7

j. Fjpbiijrbos

d. Oijstbf abdors

f. Totbfuijr abdors

l. Veko feiijmo`


15/86

VCB@ J@J\EKR .

Totbfuijr lorkbs - \nbfcor ijyor

- Lo`so fe``oftbvo tbssuo

Fe`tjb`s 7

j. Ijrmor dieel vossois

d. Fiesoiy b`torijfol oijstbf abdors

f. Fejrso, drj`fnb`m feiijmo` abdors

jrrj`mol b` ijyors pjrjiioi te tno

surajfo.

l. Abdredijstso. Kjst foiis

a. @orvo o`lb`ms

m. Iykpnjtbfs

n. Veko opblorkji jppo`ljmos


16/86

IJROTV EA VCB@

OXBLOTKBV

LOTKBV

NRXELOTKBV


17/86

OXB\NOIBJI TOXJBT

Opbtnoibji foiis ro-opbtnoibjibzo wno` tno evoriyb`mopbtnoibuk ijyor bs rokevol er lostreyol dy -

- Xjrtbji tnbfc`oss dur`s

- Jdrjsbe`s

- V\VM njrvostb`m

Veurfos aer ro-opbtnoibjibzjtbe` b`fiulo tno

opbtnoibji jppo`ljmos7- Vodjfoeus mij`ls, swojt mij`ls, jpefrb`o mij`ls

j`l njbr aeiibfios.


18/86

VCB@MTJA\B@M

]njt, wno`, wnbfn, j`l new555


19/86

LOAB@B\BE@V

Mrjats- jro tbssuos tnjt jro trj`saorrol wbtneut

tnobr dieel suppiy, kust rovjsfuijrbzo e`fo tnoy

jro b` tno òw sbto.

Leèr sbto - jroj arek wnoro mrjat bs tjco`.

Tofbpbo`t sbtojroj wnoro tno mrjat bs bkpij`tol.

\jco ea Mrjat rojttjfnko`tj`lrovjsfuijrbzjtbeèa tno mrjat te tno weu`l dol.


20/86

FIJVVBABFJ\BE@V VCB@ MTJA\V

J) Jfferl b`m te er bm b` 7

:. Jutemrjat arek tno sjko b`lbvbluji

4. Jiiemrjat arek lbaaoro`t b`lbvbluji ea sjkospofbos

6. ^o`emrjat arek lbaaoro`t spofbos, om pbm


21/86

FIJVVBABFJ\BE@V .(FE@\L.)

D) Jfferl b`m te lorkji tn bfcòss tjco`7

:) V\VM (\nborsfn mrjats)

4) A\VM (]eiao mrjat)

:. Vpibt-tnbfcòss scb` mrjat - V\MV

- Opblorkbs + vjrbjdio tnbfcòss ea lorkbs- \nb` ( 8.88? - 8.8:4 b`fn)

- B`torkolbjto ( 8.8:4 - 8.8:> b`fn)

- \nbfc ( 8.8:> - 8.868 b`fn)- Feuil do 7

- Vnoot V\MV

- Kosnol V\MV


22/86

FIJVVBABFJ\BE@V FE@\L

4. Auii tnbfc`oss scb` mrjat - A\MV

- Opblorkbs + o`tbro lorkbs

- Fe`tjb`s jl`oxji strufturos7

- Vodjfoeus mij`ls, swojt mij`ls,njbr aeiibfios & fjpbiijrbos


23/86

]njt loptn ea scb` bs tjco`555

\nb` (8.88? - 8.8:4 b`fn)

B`torkolbjto (8.8:48.8:>

b`fn)\nbfc ( 8.8:>8.868 b`fn)

A\VM (wneio lorkbs)


24/86

V\VM- JLQJ@\JMOV

:. Ioss bloji fe`lbtbe`s aer survbvji roql. se drjelor

rj`mo ea jppibfjtbe`.

4. Ioss njbr aeiibfios trj`saorrol

6. Le`er sbtos nojis dy ro-opbtnoibjibzjtbe` arek

opblorkji jppo`ljmos foiis bkkbmrjtbe` j`l

preibaorjtbe`.


25/86

V\VM - LBVJLQJ@\JMOV

:. Kero arjmbio

4. Fj``et wbtnstj`l sudsoquo`t rjlbjtbe` tnorjpy

6. Kero sofe`ljry fe`trjfturo


26/86

Vofe`ljry fe`trjturo555

Vofe`ljry fe`trjfturo - fe`trjfturo ea j nojiol sfjr

luo te kyeabdredijst jftbvbty, tno tnb``or tno V\MV, tno

mrojtor tno sofe`ljry fe`trjfturo

V\VM bs kero ea au`ftbe`ji tnj` feskotbf.


27/86

A\VM - JLQJ@\JMOV

:. Bloji aer tno ajfo/ wnoro iefji aijp bs

b`jffossbdio er èt b`lbfjtol

4. Totjb` kero fnjrjftorbstbfs ea èrkji scb`,

b`fiulb`m- feieur, toxturo, tnbfcòss6. Ioss sofe`ljry fe`trjfturo


28/86

A\VM - LBVJLQJ@\JMOV

:. Kero prbkjry fe`trjfturos

4. Kero njbr aeiibfios trj`saorrol

6. Kero profjrbeus survbvji (woii vjsfuijrbzol

dol)


29/86

Xrbkjry fe`trjfturos 555

Xrbkjry fe`trjfturos - Bkkolbjto rofebi ea j arosniy

njrvostol mrjat luo te tno oijstb` b` tno lorkbs, tno

kero lorkbs tno mrjat njs, tno kero prbkjry

fe`trjfturo.


30/86

Vnoot j`l Kosnol V\VM

AOJ\_TOV VNOO\ V\VM KOVNOL V\VM

:. loa b` b t be` - Bs j fe`tb`ueus,

u`b`torruptol mrjat

- Bs j snoot mrjat jator

kuitbpio kofnj`bfji

b`fbsbe`s

4. jlvj`tjmo - Vuporber jostnotbf

rosuits

-Jiiew bkkolbjto mrjat

oxpj`sbe`

-Fj` fevor ijrmor jroj

- Jiiew dieel & soruk

lrjb`jmo

6.

lbsjlvj`tjmo

- Le`t jiiew dieel

er soruk te lrjb`

- Xoddiol jppojrj`fo,

jostnotbfjiiy `et

jffoptbdio


31/86

\ypo ea Mrjat JLQJ@\JMOV LBVJLQJ@\JMOV

\nb` V\VM -Dost Vurvbvji

-Nojis Tjpbliy

-Iojst rosokdios erbmb`ji scb`.

-Iojst rosbstj`fo te trjukj.

-Xeer Vo`sjtbe`

-Kjxbkji Vofe`ljry Fe`trjftbe`

\nbfc V\MV-Kero qujibtbos ea èrkji scb`.

-Ioss Fe`trjftbe`

-Ieecs dottor

-Ajbr Vo`sjtbe`

-Iewor mrjat survbvji

-Viewor nojib`m.

A\VM -Kest rosokdios èrkjiscb`.-Kb`bkji Vofe`ljry

fe`trjftbe`

-Tosbstj`t te trjukj

-Meel Vo`sjtbe`

-Jostnotbfjiiy piojsb`m

-Xeerost survbvji.

-Leèr sbto kust do fiesolsurmbfjiiy.

-Leèr sbtos jro ibkbtol.

]nbfn tnbfcòss mrjat bs dottor 555


32/86

V\OXV - VCB@ MTJA\B@M (V\VM)

\no fekkeìy aeiiewol prefoluro bs js aeiiews7

:. ]eu`l propjrjtbe` - lodrbloko`t, mrjùijtbe` tbssuo,tj`mo`tbji oxfbsbe`, GO\ ijvjmo

4. Leèr sbto soioftbe` - V\VM - j`t. tnbmn, aerojrk /

A\VM-pest jurbfuijr , suprjfijvbfuijr, mreb` frojsojrojs.

6. Vcb` njrvostb`m - V\VM- njrvostol usb`m Nukdysc`bao, lorkjteko otf / A\VM- usb`m sfjipoi.


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Vpibt-tnbfcòss scb` mrjats7 uppor j`torber j`l ijtorji tnbmn

duttefcs

sfjip

uppor b`òr jrk

Auii-tnbfcòss scb` mrjats7

uppor oyoibl

`jseijdbji aeil pro- j`l pestjurbfuijr rombe`s

suprjfijvbfuijr aessj

Leèr - sbto soioftbe`

Feurtosy7 www.ktpsj.fek


34/86

Feu osy psj fe


35/86

MTJA\ V_TQBQJI J@L NOJIB@M

B`btbji jlnoro`fo7 b`btbji jlnoro`fo te tno weu`l dol vbj j tnb`

abdrb` òtwerc tnjt tokperjrbiy j`fners tnomrjat u`tbi loab`btbvo fbrfuijtbe` j`l fe`òftbvo

tbssuo fe`òftbe`s jro ostjdibsnol. domb`s bkkolbjtoiy j`l bs predjdiy jt bts

kjxbkuk dy > neurs pestmrjatb`m.


36/86

MTJA\ V_TQBQJI J@L NOJIB@M..

Xijskjtbf bkdbdbtbe`7 \no mrjat bkdbdos weu`l oxuljto dy fjpbiijry

jftbe` tnreumn tno spe`moibco strufturo ea tnomrjat lorkbs j`l tnreumn tno lorkji dieelvossois.

\nbs provo`ts mrjat losbffjtbe`, kjb`tjb`s mrjatvossoi pjto`fy, j`l prevblos `eurbsnko`t aer tnomrjat.

\nbs prefoss bs o`tbroiy rospe`sbdio aer mrjatsurvbvji aer 4-6 ljys u`tbi fbrfuijtbe` bsroostjdibsnol.

Lurb`m tnbs tbko, tno mrjat typbfjiiy dofekosolokjteus j`l b`frojsos b` wobmnt dy 68-?8%.


37/86

Tovjsfuijrbzjtbe`7 domb`s 4-6 ljys pestmrjatb`m

\noerbos

Bèsfuijtbe`bs tno ostjdibsnko`t ea lbroft j`jstekesosdotwoo` mrjat j`l rofbpbo`t dieel vossois. vjsfuijr b`mrewtn ea rofbpbo`t dol vossois b`te tno mrjat

jie`m tno fnj`òis ea provbeus mrjat vossois

rj`lek òw vjsfuijr b`mrewtn ea rofbpbo`t dol vossois b`te

tno mrjat wbtneut romjrl aer provbeus mrjat vossois. auii fbrfuijtbe` te tno mrjat bs rosterol dy 1-= ljys

pestmrjatb`m.

MTJA\ V_TQBQJI J@L NOJIB@M.


38/86

]btneut b`btbji jlnoro`fo, pijskjtbfbkdbdbtbe`, j`l rovjsfuijrbzjtbe`,

tno mrjat wbii `et survbvo.



39/86

]eu`l fe`trjftbe`7

kjy prelufo sorbeus au`ftbe`ji j`l feskotbf predioks

- oftrepbe`, rotrjftbe` ea tno `jsji jij, er lbstertbe` ea

tno vorkbibe` derlor.

Fe`trjftbe` predjdiy domb`s snertiy jator b`btbji weu`lb`m

j`l premrossos siewiy aer 1-:> ke`tns aeiiewb`m scb`

mrjatb`m.

\no weu`l dol bs tno iefus ea tno fe`trjftbio aerfos, j`l

tno kyeabdredijstsb` tno weu`l dol bs doibovol te do

rospe`sbdio aer tnbs fe`trjftbe`.

MTJA\ V_TQBQJI J@L NOJIB@M.


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Tob`òrvjtbe`7

effurs arek tno rofbpbo`t dol j`l tno porbpnory jie`mtno okpty òureiokkji snojtns ea tno mrjat

so`sbdbibty rotur`s te tno porbpnory ea tno mrjat j`lprefools fo`trjiiy

usujiiy domb`s lurb`m tno abrst ke`tn dut bs ètfekpioto aer sovorji yojrs aeiiewb`m mrjatb`m

pjb` bs usujiiy tno abrst porfobvol so`sjtbe` aeiiewolijtor dy teufn, nojt, j`l feil

V\VMs jro rob`òrvjtol kero qubfciy, dut auii-

tnbfcòss mrjats jro rob`òrvjtol kero fekpiotoiy rob`òrvjtbe` bs jiwjys b`fekpioto, j`l seko lomroo

ea lorj`moko`t bs porkjò`t

usujiiy tno pjtbo`t lovoieps pretoftbvo so`sjtbe` dutèt èrkji porfoptbe`



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Xbmko`tjtbe`7

rotur`s mrjlujiiy te auii-tnbfcòss scb` mrjats, j`l tnoy

kjb`tjb` j pbmko`t sbkbijr te tno leèr sbto kufn kero

prolbftjdiy tnj` spibt-tnbfcòss mrjats.

V\VMs kjy rokjb` pjio er wnbto er kjy dofeko

nyporpbmko`tol wbtn oxpesuro te suìbmnt.

bt bs moòrjiiy rofekko`lol tnjt tno mrjat do pretoftol

arek lbroft suìbmnt aer jt iojst 1 ke`tns jator mrjatb`m er

ovo` ie`mor.

MTJA\ V_TQBQJI J@L NOJIB@M..


42/86

FEKXIBFJ\BE@V J@L MTJA\ AJBI_TO

Xeer mrjat fe`tjft er jlnoro`fo te tno rofbpbo`t dol kest fekke` rojse` aer scb` mrjat ajbiuro

Nokjtekj do`ojtn tno mrjat er sorekj aerkjtbe`

Kevoko`t ea tno mrjat, er snojr aerfos

Xeer rofbpbo`t sbto \no weu`l kjy njvo peer vjsfuijrbty

surajfo fe`tjkb`jtbe` kjy njvo doo` tee mrojt te jiiewmrjat survbvji.

\ofn`bfji orrer

Jppiyb`m tno mrjat upsblo lew`Jppiyb`m oxfoss prossuro

Vtrotfnb`m tno mrjat tee tbmntiy

trjukjtbf nj`lib`m ea tno mrjat


43/86

VCB@V_DV\B\_\OV

J yos te `e mrjats !!!


44/86

VCB@ V_DV\B\_\OV

DBEIEMBFJI FEQOTB@MV7 Jiiemrjat7 fjljvor scb` aer tokperjry fevor. \bssuo ijsts 6 woocs

doaero rogoftbe`. Oxpo`sbvo òols spofbji prosorvjtbe` , lbsojsotrj`saor

ôèmrjats(pbm scb`) 7 tokperjry fevorjmo, ioss oxpo`sbvo tnj`jiiemrjat, kero rojlbiy jvjbijdio, sieumns ojsbiy

Nukj` jk`be` 7 aer tokperjry weu`l fiesuro, suporabfbji weu`ls j`loxfbsol weu`ls, peer sfroo`b`m aer vbrusos se èt rofekko`lol.

Debiol petjte pooi dj`ljmo (DXXD)

Dj`j`j ioja lrossb`m (DIL)

JT\BABFBJI VCB@7 Dbedrjò7 j 4 ijyor kokdrjò wbtn eutor sbibfeò kokdrjò te provo`t

djftorbji b`vjsbe`.jffukjijtbe` ea oxuljtos dut etnorwbso meel preluft.bòxpo`sbvo ie`m snoivo ibao.

\rj`sfyto7 sbkbijr te dbedrjò, fj` stbkuijto weu`l nojib`m

B`tomrj7 prevblos fekpioto weu`l fiesuro, iojvos j lorkjioqubvjio`t, sperjlbf tjco rjtos, abrst ALJ JXXTEQOL, vory oxpo`sbvo.


45/86

New bt wercs 555

Veurfo 7 B`tomrj Ibaosfbo`fos Ferperjtbe`


46/86

Dbedrj`oB`tomrj

\rj`sfyto\rj`sfytoDj`j`j ioja

B`tomrj


47/86

VCB@ AIJXV

Bts kero losbrjdio, wny 555


48/86

AIJX 7 J`y tbssuo usol aer rofe`struftbe` er weu`lfiesuro tnjt rotjb`s jii er pjrt ea bts erbmb`ji dieelsuppiy jator tno tbssuo njs doo` kevol te tno rofbpbo`t

iefjtbe`.

Vbkpio aijpom. Vcb` aijp, kusfio aijp

Fekpeu`l aijpom. Kyefutj`oes aijp,

ajsfbefutj`oeus aijp


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MTJA\V QV AIJXV

MTJA\V AIJXV Ibkbtol te trj`spij`tjtbe` ea scb` Fj` fjrry etnor tbssuos

Lopo`ls e` rofbpbo`t sbto aer

ùtrbtbe`

Njs ew` dieel suppiy

Feskotbfkjy lbsfeier er

fe`trjft

Dottor feier tjco, ioss ibcoiy te

fe`trjft

Ioss jljptjdio te wobmnt dojrb`m Kero jljptjdio te wobmnt dojrb`m

Ioss jdio te survbvo e` j dol wbtn

quostbe`jdio ùtrbtbe`

Fj` do usol e` j dol wbtn

quostbe`jdio ùtrbtbe`

Toqubros prossuro lrossb`m Toqubros è prossuro lrossb`m

Fj`èt drblmo loaofts Fj` drblmo loaoft


50/86

AIJXV- J@J\EKR J@L XNRVBEIEMR

\no kbfrefbrfuijtery systok ea tno scb` bs fekpesol ea:. suporabfbji pioxus b` tno suporabfbji lorkji pjpbiijo b` tno

pjpbiijry lorkbs.

suppibos tno kero kotjdeibfjiiy jftbvo opblorkbs dy

koj`s ea lbaausbe`4. loop vjsfuijr pioxus jt tno gu`ftbe` ea tno

sudfutjòeus ajt j`l rotbfuijr lorkbs

Xnysbeiembf ajfters jaaoftb`m aijp survbvji7

:. dieel suppiy te tno aijp tnreumn bts djso4. aerkjtbe` ea òw vjsfuijr fnj`òis dotwoo` tno aijp

j`l tno rofbpbo`t dol

6. porausbe` prossuro ea tno suppiyb`m dieel vossois


51/86

@oevjsfuijrbzjtbe ea tno aijp usujiiy effurs 6-= ljysjator trj`saor.

\nbs vjsfuijrbzjtbe` effurs tnreumn 4 prefossos7

:. Lbroft b`mrewtn

4. B`esfuijtbe`

- roaors te j`jstekesb`m ea surreu`lb`m rofbpbo`t

fjpbiijrbos b`te prooxbstb`m vossois b` tno aijp.

AIJXV7 J@J\EKR J@L XNRVBEIEMR


52/86

AIJXV

Jlvj`tjmos7

O`jdio rjpbl rofe`struftbe`

Meel feier j`l toxturo kjtfn

Njs j roibjdio j`l jloqujto dieel suppiy _sos7

\e rofe`struft j ijrmo prbkjry loaoft

\e fjrry etnor strufturos sufn js de`o

Iojvos j loaoft b` tno le`er jroj wnbfn bs

fiesol prbkjrbiy er wbtn j scb` mrjat


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AIJXV - FIJVVBABFJ\BE@V

Fijssbabfjtbe`- Djsol e` lbstj`fo b` roijtbe` te tno loaoft7

:. Iefji aijp

Tjbsol arek tbssuo bkkolbjtoiy jlgjfo`t te er vory

fieso te tno prbkjry loaoft om7 trj`spesbtbe` aijps,

z-pijsty, rnekdebl aijp, retjtbe` aijp, jlvj`foko`taijp otf.

4. Lbstj`t aijps

\bssuos kevol jt j lbstj`fo arek tno prbkjry

loaoft om7 kyefutj`oeus aijps, ajsfbefutj`oeusaijps, aroo aijps, otf.


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AIJXV FIJVVBABFJ\BE@V.

Fijssbabfjtbe`- Djsol e` dieel suppiy:. Tj`lek pjttor` aijp

lorbvos bts `utrbtbe` arek tno lorkji-sudlorkjipioxus

4. Jxbji pjttor` aijp

]btn jrtorbevo`eus fbrfuijtbe` tnjt aeiiews tnoie`m jxbs ea tno aijp j`l mbvos eaa drj`fnos tetno lorkji-sudlorkji pioxus

suppibol dy j `jkol jrtory j`l vob`

6. Kbfrevjsfuijr aroo aijp

\jco` aroo arek etnor pjrts ea tno dely

prosorvb`m bts dieel suppiy, j`l j`jstekesol te

tno jvjbijdio dieel suppiy b` tno rofbpbo`t jroj


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Djsol e` dieel suppiy.

Kbfrevjsfuijr aroo aijp


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LBVF_VVBE@ E@ VEKO VOIOF\OL AIJXV


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IEFJI AIJXV t rj`spesbt be` a ijp7 tno kest djsbf losbm`, iojvb`m j mrjatjdio leèr

sbto.

W-pijsty7 aer io`mtno`b`m sfjrs er tbssuos

rnekdebl a ijp7 aer fnooc, tokpio, djfc j`l aijt surajfo loaofts

retjt be` a ijp7 aer fe`vox surajfos3

jlvj`foko`t a ijp7 aer aioxer surajfos3 kjy òol trbj`mios oxfbsol jt

tno djso te kjco bt werc (fekkeìy fjiiol Durrews trbj`mios)3

Q-te-R jlvj`foko`t7 fekkeìy usol aer ab`mortbps j`l oxtrokbtbos

db iedol aijp7 aer fe`vox surajfos, ospofbjiiy tno èso

dbp olbfio aijp7 aer oyoibls, rjroiy oisownoro.


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IEFJI AIJXV

Jii aijps kust do rjbsol b` tno sudfutjòeus pijò.

Mo`tio u`lorfuttb`m ea kjrmb`s noips te fieso tno leèr sbto.

\no jrt ea kjcb`m iefji aijps werc bs te puii jvjbijdio iefji

spjro ijx scb` b`te tno loaoft, se tnjt tno sfjr wno` fiesolsbts b` j meel ibò ea oioftbe`


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IEF I AI XV Jlvj`tjmos

Dost iefji feskotbf tbssuo kjtfn

Eato` j sbkpio prefoluro

Iefji er rombe`ji j`jostnosbj eptbe`

Lbsjlvj`tjmos

Xessbdio iefji tbssuo snertjmo

Vfjrrb`m kjy oxjfordjto tno fe`lbtbe` Vurmoe` kjy fekprekbso iefji rosoftbe`


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Fekdbòl iefji aijps B` seko fbrfukstj`fos, sufn js dur` fe`trjfturo roiojso,

iefji aijps fj` usoauiiy do fekdbòl te bkpert surpius tbssuo

arek jwblo jroj jlgjfo`t te j sfjr er loaoft tnjt òols

rokevji.

Oxjkpios jro tno ]-pijsty j`l tno kuitbpio R-te-Q pijsty,

wnbfnbs j vory vorsjtbio koj`s ea roiojsb`m j` bseijtol dj`l

sfjr fe`trjfturo evor j aioxbe` frojso


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Aroo tbssuo trj`saor er aroo aijp) Jlvj`tjmos

Dob`m jdio te soioft oxjftiy tno dost tbssuo tekevo

Eìy tjcos wnjt bs òfossjryKb`bkbsos leèr sbto kerdblbty

Lbsjlvj`tjmos

Kero fekpiox surmbfji tofn`bquo

Ajbiuro b`veivos tetji iess ea jii trj`saorrol tbssuo

_sujiiy tjcos kero tbko uìoss tno surmoe` bsoxporbo`fol


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Aroo-tbssuo le`er sbtos


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Xbvetji aijps

Xbvetji aijps jro kevol jdeut j pbvetji peb`tarek tno le`er sbto te tno loaoft.

Xbvetji aijps b`fiulo

\rj`spesbtbe`

Tetjtbe`

B`torpeijtbe` aijps


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Js tno lbstj`fo ea roqubrol aijp trj`spesbtbe` b`frojsos, tnob`ferperjtbe` ea j loab`ol dieel suppiy dofekos frbtbfji.

Fijssbabol js jxbji, newovor kest aijps njvo rj`lek pjttor`

jt tnobr lbstji o`ls

_tbibzol te fevor ijrmo loaofts wnbfn roqubro duic

Oxjkpios 7 :. XKKA 4. LXA 6. \rjpozbus aijp

TOMBE@JI AIJXV


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Xofterjibs Kjger Kyefutjòeus Aijp (XKKA)

Kjger j`l kest fekkeìy usol kyefutjòeus-polbfiol

tbssuo trj`saor b` nojl j`l òfc rofe`struftbe`

Djsol upe` tno pofterji drj`fn ea tno

tnerjfejfrekbji jrtoryeaa tno sofe`l pertbe` ea tno

jxbiijry jrtory

Jdio te nj`lio 28% ea vbrtujiiy jii nojl j`l òfc loaofts

tnjt roqubro j sbm`babfj`t jkeu`t ea seat tbssuo

Jlvj`tjmos7

Kero lurjdio dieel suppiy

Loaoft jt tno leèr sbto fj` do fiesol prbkjrbiy

Xrevblos tbssuo duic te fevor ijrmo loaofts

XKKA

XKKA


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XKKA

XKKA


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XKKA


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XKKA


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XKKA


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Loitepofterji Aijp (LX Aijp)

Auii tnbfc`oss ajsfbefutj`oeusaijp (b`fiulb`m tno ajsfbj

ea tno pofterji kusfios)

Kolbjiiy djsol j`torber fnost wjii scb` wbtneut kusfio

Dieel suppiy7 :sttnreumn


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LX AIJX


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LX AIJX


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\rjpozbus Aijp_tbibzos tno trjpozbus kusfio wbtn bts evoriyb`m

scb`

Dieel suppiy7 trj`svorso forvbfji jrtoryXjtbo`t kust do ropesbtbe`ol lurb`m njrvostb`m ea

tno aijp

\TJXOWB_V AIJX

\TJXOWB_V AIJX


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\TJXOWB_V AIJX

\TJXOWB_V AIJX


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\TJXOWB_V AIJX


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Ijtbssbkus Lersb Aijp jètnor roibjdio j`l vorsjtbio aijp

kjy do trj`saorrol js j kusfio

aijp, j kyefutjòeus aijp, er

ovo` js j fekpesbtoestoekyefutjòeus futjòeus

aijp wno` njrvostol wbtn

u`loriyb`m sorrjtus kusfio j`l

rbd fj` jise do usol js j aroo aijp

I \BVVBK_V LETVB AI X
http://www.emedicine.com/cgi-bin/foxweb.exe/makezoom@/em/makezoom?picture=/websites/emedicine/ent/images/Large/136513651365Picture_1_Skin_Paddle.jpg&template=izoom2


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Ijtbssbkus Lersb Aijp \no ijtbssbkus lersb kusfio bs suppibol dy 4 sopjrjto

vjsfuijr systoks.

\no lekb`j`t dieel suppiy jrbsos arek tno

tnerjfelersji jrtory, wnbfn bs tno torkb`ji drj`fn eatno sudsfjpuijr jrtory.

Bt jise njs j sofe`ljry dieel suppiy, wnbfn jrbsos arek

somko`tji poraerjtb`m drj`fnos eaa ea tno b`torfestji

j`l iukdjr jrtorbos.

I \BVVBK_V LETVB AI X


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FJTO EA AIJXV J@L KE@B\ETB@M Edsorvol aer tbssuo feieur, wjrktn j`l turmer, jssoss

dij`fnb`m j`l fjpbiijry roabii tbko j`l b`torvb`ojfferlb`miy.

\no kest fekke` fjusos ea aijp ajbiuro jro7

peer j`jtekbfji c`ewiolmo

aijp b`sot wbtn tee kufn to`sbe

iefji sopsbs er j soptbfjokbf pjtbo`t

tno lrossb`m jppibol tee tbmntiy jreu`l tno polbfio

kbfresurmbfji ajbiuro b` aroo aijp surmory

]ot, wjrk j`l fekaertjdio\no dost jlvbfo aer pesteporjtbvo aijp fjro aer kjgertbssuo trj`saors bs te coop tno pjtbo`t wot, wjrk j`lfekaertjdio. \nbs koj`s tnjt tno pjtbo`t sneuil do woiinylrjtol wbtn j nyporly`jkbf fbrfuijtbe`, j vory wjrkdely tokporjturo j`l woiife`treiiol j`jimosbj te rolufo


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B@V\T_KO@\V


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TOFO@\ JLQJ@FOV J@L

\NO A_\_TO

Jrtbabfbji scb` arek njbr reets


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Jrtbabfbji scb` arek njbr reets

Aow njbrs eaa tno djfc ea tno pjtbo`ts nojl jro puiiol

Jluit stok foiis arek tno reets jro oxtrjftol,

Xreibaorjtol b` j foii fuituro aer jdeut twe woocs.

BF^ VC@ kbkbfcb`m `jturo


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BF^-VC@ - kbkbfcb`m `jturo

Xjui Cokp j`l feiiojmuos jtDrbtbsn dbetofn fekpj`y

B`torfytox

Auiiy j`l fe`sbsto`tiyb`tomrjtos b`te tno nukj`

dely

@e `ool aer aurtnor mrjatb`m

Voia nojib`m jrtbabfbji scb`


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Voia nojib`m jrtbabfbji scb`

Kbfrevjsfuijr Juteèkbf Fekpesbtos B`btbjtbvo (QJF) bs

frojtb`m kjtorbjis wbtn j kbfrevjsfuijr òtwerc, fjpjdio eapukpb`m soia-nojib`m peiykors te ropjbr sbtos ea scb` droofn.

nttp7//www.kvjf.ubuf.olu

\no surajfo ijyor jfts js j

fjtjiyst

aer tno nojib`m jmo`t, fjusb`m bt te

peiykorbzo upe` fe`tjftKbfrevjsfuijr òtwerc okdollol b` tno

sudstrjto ijyor fjrryb`m tno nojib`m jmo`t

Tosbluo nojib`m jmo`t ropjbrb`m frjfcs

e` tno surajfo ea tno QJF kjtorbji.

TOAOTO@FOV


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TOAOTO@FOV

:. Djbioy j`l Ievos Vnert toxtdeec ea surmory

4. Vfnwjrtzs Xrb`fbpio ea Vurmory

6. www.kolsfjpo.fek


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Documents

Skin Grafting and Flaps (complete presentation)