Table 9 Comparison of wound reconstruction methods

Greater omentum transplantation

The blood supply is better than that of myocutaneous flap, the wound is smaller, the wound is more beautiful than myocutaneous flap, and the anti-infection effect is good

There are many complications and cannot provide skin and soft tissue repair. Professional team is required to cooperate with the operation.

Pectoralis major myocutaneous flap

Close to the wound, without long-distance transfer, the operation method is relatively simple, the operation time is relatively short, and the application range is wide

The substernal bone defect in the donor area cannot be used, which destroys the appearance of the chest and is not suitable for women. It is close to the wound and is invaded by inflammation

Rectus abdominis flap

It is suitable for filling the bone defect of the distal sternum

The nutrient vessel (internal abdominal thoracic artery) has been ligated during cardiac surgery, close to the wound, and attacked by inflammation, less tissue, abdominal hernia

latissimus dorsi flap

Sufficient tissue and large cutting area, the vascular pedicle is thick and long, anatomical constancy, the muscle function of the donor area is compensated by other muscles

Large trauma area, Long operation time, Changing position during operation

Platelet-rich plasma(PRP)

Hemostatic effect, release growth factors, cytokines, and bioactive proteins, good filling effect in a liquid state, analgesic effect

Platelet collection before the operation, influenced by platelet count, combined with NPWT therapy, unable to provide skin and soft tissue repair

ALBC + NPWT

Good filling and supporting effect, loadable antibiotics

Release cytotoxicity, thermogenesis, pain, it is unclear whether ALBC should be removed, delayed closure of wounds