A Simple Strategy in Avulsion Flap Injury: Prediction of Flap Viability Using Wood's Lamp Illumination and Resurfacing with a Full-thickness Skin Graft
Identifieur interne : 001E14 ( Pmc/Checkpoint ); précédent : 001E13; suivant : 001E15A Simple Strategy in Avulsion Flap Injury: Prediction of Flap Viability Using Wood's Lamp Illumination and Resurfacing with a Full-thickness Skin Graft
Auteurs : Hyoseob Lim [Corée du Sud] ; Dae Hee Han [Corée du Sud] ; Il Jae Lee [Corée du Sud] ; Myong Chul Park [Corée du Sud]Source :
- Archives of Plastic Surgery [ 2234-6163 ] ; 2014.
Abstract
Extensive degloving injuries of the extremities usually result in necrosis of the flap, necessitating comprehensive skin grafting. Provided there is a sufficient tool to evaluate flap viability, full-thickness skin can be used from a nonviable avulsed flap. We used a Wood's lamp to determine the viability of avulsed flaps in the operation field after intravenous injection of fluorescein dye.
We experienced 13 cases during 16 months. Fifteen minutes after the intravenous injection of fluorescein dye, the avulsed skin flaps were examined and non-fluorescent areas were marked under Wood's lamp illumination. The marked area was defatted for full-thickness skin grafting. The fluorescent areas were sutured directly without tension. The non-fluorescent areas were covered by defatted skin. Several days later, there was soft tissue necrosis within the flap area. We measured necrotic area and revised the flap.
Among all the cases, necrotic area was 21.3% of the total avulsed area. However, if we exclude three cases, one of a carelessly managed patient and two cases of the flaps were inappropriately applied, good results were obtained, with a necrotic area of only 8.4%. Eight patients needed split-thickness skin grafts, and heel pad reconstruction was performed with free flap.
A full-thickness skin graft from an avulsed flap is a good method for addressing aesthetic concerns without producing donor site morbidity. Fluorescein dye is a useful, simple, and cost-effective tool for evaluating flap viability. Avulsed flap injuries can be managed well with Wood's lamp illumination and a full-thickness skin graft.
Url:
DOI: 10.5999/aps.2014.41.2.126
PubMed: 24665420
PubMed Central: 3961609
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
PMC:3961609Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Simple Strategy in Avulsion Flap Injury: Prediction of Flap Viability Using Wood's Lamp Illumination and Resurfacing with a Full-thickness Skin Graft</title><author><name sortKey="Lim, Hyoseob" sort="Lim, Hyoseob" uniqKey="Lim H" first="Hyoseob" last="Lim">Hyoseob Lim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Anyang</wicri:regionArea><wicri:noRegion>Anyang</wicri:noRegion></affiliation></author><author><name sortKey="Han, Dae Hee" sort="Han, Dae Hee" uniqKey="Han D" first="Dae Hee" last="Han">Dae Hee Han</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon</wicri:regionArea><wicri:noRegion>Suwon</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Il Jae" sort="Lee, Il Jae" uniqKey="Lee I" first="Il Jae" last="Lee">Il Jae Lee</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon</wicri:regionArea><wicri:noRegion>Suwon</wicri:noRegion></affiliation></author><author><name sortKey="Park, Myong Chul" sort="Park, Myong Chul" uniqKey="Park M" first="Myong Chul" last="Park">Myong Chul Park</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon</wicri:regionArea><wicri:noRegion>Suwon</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24665420</idno><idno type="pmc">3961609</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961609</idno><idno type="RBID">PMC:3961609</idno><idno type="doi">10.5999/aps.2014.41.2.126</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">003B34</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003B34</idno><idno type="wicri:Area/Pmc/Curation">003B33</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003B33</idno><idno type="wicri:Area/Pmc/Checkpoint">001E14</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001E14</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Simple Strategy in Avulsion Flap Injury: Prediction of Flap Viability Using Wood's Lamp Illumination and Resurfacing with a Full-thickness Skin Graft</title><author><name sortKey="Lim, Hyoseob" sort="Lim, Hyoseob" uniqKey="Lim H" first="Hyoseob" last="Lim">Hyoseob Lim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Anyang</wicri:regionArea><wicri:noRegion>Anyang</wicri:noRegion></affiliation></author><author><name sortKey="Han, Dae Hee" sort="Han, Dae Hee" uniqKey="Han D" first="Dae Hee" last="Han">Dae Hee Han</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon</wicri:regionArea><wicri:noRegion>Suwon</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Il Jae" sort="Lee, Il Jae" uniqKey="Lee I" first="Il Jae" last="Lee">Il Jae Lee</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon</wicri:regionArea><wicri:noRegion>Suwon</wicri:noRegion></affiliation></author><author><name sortKey="Park, Myong Chul" sort="Park, Myong Chul" uniqKey="Park M" first="Myong Chul" last="Park">Myong Chul Park</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon</wicri:regionArea><wicri:noRegion>Suwon</wicri:noRegion></affiliation></author></analytic><series><title level="j">Archives of Plastic Surgery</title><idno type="ISSN">2234-6163</idno><idno type="eISSN">2234-6171</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Extensive degloving injuries of the extremities usually result in necrosis of the flap, necessitating comprehensive skin grafting. Provided there is a sufficient tool to evaluate flap viability, full-thickness skin can be used from a nonviable avulsed flap. We used a Wood's lamp to determine the viability of avulsed flaps in the operation field after intravenous injection of fluorescein dye.</p></sec><sec><title>Methods</title><p>We experienced 13 cases during 16 months. Fifteen minutes after the intravenous injection of fluorescein dye, the avulsed skin flaps were examined and non-fluorescent areas were marked under Wood's lamp illumination. The marked area was defatted for full-thickness skin grafting. The fluorescent areas were sutured directly without tension. The non-fluorescent areas were covered by defatted skin. Several days later, there was soft tissue necrosis within the flap area. We measured necrotic area and revised the flap.</p></sec><sec><title>Results</title><p>Among all the cases, necrotic area was 21.3% of the total avulsed area. However, if we exclude three cases, one of a carelessly managed patient and two cases of the flaps were inappropriately applied, good results were obtained, with a necrotic area of only 8.4%. Eight patients needed split-thickness skin grafts, and heel pad reconstruction was performed with free flap.</p></sec><sec><title>Conclusions</title><p>A full-thickness skin graft from an avulsed flap is a good method for addressing aesthetic concerns without producing donor site morbidity. Fluorescein dye is a useful, simple, and cost-effective tool for evaluating flap viability. Avulsed flap injuries can be managed well with Wood's lamp illumination and a full-thickness skin graft.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jeng, Sf" uniqKey="Jeng S">SF Jeng</name></author><author><name sortKey="Wei, Fc" uniqKey="Wei F">FC Wei</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nogueira, A" uniqKey="Nogueira A">A Nogueira</name></author><author><name sortKey="Martinez, Mj" uniqKey="Martinez M">MJ Martinez</name></author><author><name sortKey="Arriaga, Mj" uniqKey="Arriaga M">MJ Arriaga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Innis, Co" uniqKey="Innis C">CO Innis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zeligowski, Aa" uniqKey="Zeligowski A">AA Zeligowski</name></author><author><name sortKey="Ziv, I" uniqKey="Ziv I">I Ziv</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goris, Rj" uniqKey="Goris R">RJ Goris</name></author><author><name sortKey="Nicolai, Jp" uniqKey="Nicolai J">JP Nicolai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hsu, Wm" uniqKey="Hsu W">WM Hsu</name></author><author><name sortKey="Wei, Fc" uniqKey="Wei F">FC Wei</name></author><author><name sortKey="Lin, Ch" uniqKey="Lin C">CH Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huemer, Gm" uniqKey="Huemer G">GM Huemer</name></author><author><name sortKey="Schoeller, T" uniqKey="Schoeller T">T Schoeller</name></author><author><name sortKey="Dunst, Km" uniqKey="Dunst K">KM Dunst</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mckee, Dm" uniqKey="Mckee D">DM McKee</name></author><author><name sortKey="Edgerton, Mt" uniqKey="Edgerton M">MT Edgerton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hidalgo, Da" uniqKey="Hidalgo D">DA Hidalgo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mandel, Ma" uniqKey="Mandel M">MA Mandel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Corps, Bv" uniqKey="Corps B">BV Corps</name></author><author><name sortKey="Littlewood, M" uniqKey="Littlewood M">M Littlewood</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Farmer, Aw" uniqKey="Farmer A">AW Farmer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Coryllos, E" uniqKey="Coryllos E">E Coryllos</name></author><author><name sortKey="Dabbert, O" uniqKey="Dabbert O">O Dabbert</name></author><author><name sortKey="Tracey, E" uniqKey="Tracey E">E Tracey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sloan, Gm" uniqKey="Sloan G">GM Sloan</name></author><author><name sortKey="Sasaki, Gh" uniqKey="Sasaki G">GH Sasaki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moyer, Hr" uniqKey="Moyer H">HR Moyer</name></author><author><name sortKey="Losken, A" uniqKey="Losken A">A Losken</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Phillips, Bt" uniqKey="Phillips B">BT Phillips</name></author><author><name sortKey="Lanier, St" uniqKey="Lanier S">ST Lanier</name></author><author><name sortKey="Conkling, N" uniqKey="Conkling N">N Conkling</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burnam, Ja" uniqKey="Burnam J">JA Burnam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lange, K" uniqKey="Lange K">K Lange</name></author><author><name sortKey="Boyd, Lj" uniqKey="Boyd L">LJ Boyd</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thorvaldsson, Se" uniqKey="Thorvaldsson S">SE Thorvaldsson</name></author><author><name sortKey="Grabb, Wc" uniqKey="Grabb W">WC Grabb</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mccraw, Jb" uniqKey="Mccraw J">JB McCraw</name></author><author><name sortKey="Myers, B" uniqKey="Myers B">B Myers</name></author><author><name sortKey="Shanklin, Kd" uniqKey="Shanklin K">KD Shanklin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Myers, B" uniqKey="Myers B">B Myers</name></author><author><name sortKey="Donovan, W" uniqKey="Donovan W">W Donovan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singer, R" uniqKey="Singer R">R Singer</name></author><author><name sortKey="Lewis, Cm" uniqKey="Lewis C">CM Lewis</name></author><author><name sortKey="Franklin, Jd" uniqKey="Franklin J">JD Franklin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Losken, A" uniqKey="Losken A">A Losken</name></author><author><name sortKey="Styblo, Tm" uniqKey="Styblo T">TM Styblo</name></author><author><name sortKey="Schaefer, Tg" uniqKey="Schaefer T">TG Schaefer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pearl, Rm" uniqKey="Pearl R">RM Pearl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morris, Sf" uniqKey="Morris S">SF Morris</name></author><author><name sortKey="Taylor, Gi" uniqKey="Taylor G">GI Taylor</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Arch Plast Surg</journal-id><journal-id journal-id-type="iso-abbrev">Arch Plast Surg</journal-id><journal-id journal-id-type="publisher-id">APS</journal-id><journal-title-group><journal-title>Archives of Plastic Surgery</journal-title></journal-title-group><issn pub-type="ppub">2234-6163</issn><issn pub-type="epub">2234-6171</issn><publisher><publisher-name>The Korean Society of Plastic and Reconstructive Surgeons</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24665420</article-id><article-id pub-id-type="pmc">3961609</article-id><article-id pub-id-type="doi">10.5999/aps.2014.41.2.126</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>A Simple Strategy in Avulsion Flap Injury: Prediction of Flap Viability Using Wood's Lamp Illumination and Resurfacing with a Full-thickness Skin Graft</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lim</surname><given-names>Hyoseob</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Han</surname><given-names>Dae Hee</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Il Jae</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Park</surname><given-names>Myong Chul</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea.</aff><aff id="A2"><label>2</label>Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.</aff><author-notes><corresp>Correspondence: Myong Chul Park. Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, 164 World Cup-ro, Yeongtong-gu, Suwon 443-721, Korea. Tel: +82-31-219-5614, Fax: +82-31-219-5610, <email>mpark@ajou.ac.kr</email></corresp></author-notes><pub-date pub-type="ppub"><month>3</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>12</day><month>3</month><year>2014</year></pub-date><volume>41</volume><issue>2</issue><fpage>126</fpage><lpage>132</lpage><history><date date-type="received"><day>11</day><month>6</month><year>2013</year></date><date date-type="rev-recd"><day>07</day><month>8</month><year>2013</year></date><date date-type="accepted"><day>08</day><month>8</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2014 The Korean Society of Plastic and Reconstructive Surgeons</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec><title>Background</title><p>Extensive degloving injuries of the extremities usually result in necrosis of the flap, necessitating comprehensive skin grafting. Provided there is a sufficient tool to evaluate flap viability, full-thickness skin can be used from a nonviable avulsed flap. We used a Wood's lamp to determine the viability of avulsed flaps in the operation field after intravenous injection of fluorescein dye.</p></sec><sec><title>Methods</title><p>We experienced 13 cases during 16 months. Fifteen minutes after the intravenous injection of fluorescein dye, the avulsed skin flaps were examined and non-fluorescent areas were marked under Wood's lamp illumination. The marked area was defatted for full-thickness skin grafting. The fluorescent areas were sutured directly without tension. The non-fluorescent areas were covered by defatted skin. Several days later, there was soft tissue necrosis within the flap area. We measured necrotic area and revised the flap.</p></sec><sec><title>Results</title><p>Among all the cases, necrotic area was 21.3% of the total avulsed area. However, if we exclude three cases, one of a carelessly managed patient and two cases of the flaps were inappropriately applied, good results were obtained, with a necrotic area of only 8.4%. Eight patients needed split-thickness skin grafts, and heel pad reconstruction was performed with free flap.</p></sec><sec><title>Conclusions</title><p>A full-thickness skin graft from an avulsed flap is a good method for addressing aesthetic concerns without producing donor site morbidity. Fluorescein dye is a useful, simple, and cost-effective tool for evaluating flap viability. Avulsed flap injuries can be managed well with Wood's lamp illumination and a full-thickness skin graft.</p></sec></abstract><kwd-group><kwd>Tissue survival</kwd><kwd>Dermis</kwd><kwd>Skin transplantation</kwd><kwd>Soft tissue injuries</kwd><kwd>Extremities</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><p>Intraoperative photographs demonstrate the authors' methods</p><p>(A) Under Wood's lamp illumination areas of fluorescence and non-fluorescence and mottled areas can be distinguished. (B) The flap of the non-fluorescent area is defatted to be used as FTSG. (C) To prevent hematoma formation under FTSG, VAC dressing is applied. FTSG, full-thickness skin graft; VAC, vacuum-assisted closure.</p></caption><graphic xlink:href="aps-41-126-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label><caption><p>Case 1: preoperative and postoperative photographs</p><p>(A) Circumferential avulsed skin flap injury from the thigh to the dorsum of the foot was noted. (B) Multiple but small areas of necrosis were found. (C) An acceptable appearance was reported at a follow up at 2 months.</p></caption><graphic xlink:href="aps-41-126-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label><caption><p>Case 2: preoperative and postoperative photographs</p><p>(A) An avulsion flap injury was noted on the lateral surface of the foot. (B) Well recovered skin was found.</p></caption><graphic xlink:href="aps-41-126-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label><caption><p>Case 4: preoperative and postoperative photographs</p><p>(A) A circumferential degloving injury was noted on the lower leg. (B) A non-defatted area on dependent position changed to necrosis after the 6th postoperative day. (C) No functional impairment was found, but a depression was noted at the posterior calf.</p></caption><graphic xlink:href="aps-41-126-g004"></graphic></fig><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Data from 13 surgeries of 11 avulsed flap patients</p></caption><graphic xlink:href="aps-41-126-i001"></graphic><table-wrap-foot><fn><p>FTSG, full-thickness skin graft; STSG, split-thickness skin graft.</p><p><sup>a)</sup>If we exclude a carelessly managed case (patient 4) and two cases in which the technique was improperly applied (patients 8, 13), the mean value of necrosis area would decrease to 8.4%.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Lim, Hyoseob" sort="Lim, Hyoseob" uniqKey="Lim H" first="Hyoseob" last="Lim">Hyoseob Lim</name></noRegion><name sortKey="Han, Dae Hee" sort="Han, Dae Hee" uniqKey="Han D" first="Dae Hee" last="Han">Dae Hee Han</name><name sortKey="Lee, Il Jae" sort="Lee, Il Jae" uniqKey="Lee I" first="Il Jae" last="Lee">Il Jae Lee</name><name sortKey="Park, Myong Chul" sort="Park, Myong Chul" uniqKey="Park M" first="Myong Chul" last="Park">Myong Chul Park</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Pmc/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001E14 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 001E14 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Pmc
|étape= Checkpoint
|type= RBID
|clé= PMC:3961609
|texte= A Simple Strategy in Avulsion Flap Injury: Prediction of Flap Viability Using Wood's Lamp Illumination and Resurfacing with a Full-thickness Skin Graft
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:24665420" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |