Treatment of hostile midline back wounds: An extreme approach

Julius W. Few, Jeffrey R. Marcus, Michael J. Lee, Stephan Ondra, Gregory A. Dumanian*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


The basic principles of successful wound closure remain the same: careful preoperative evaluation, removal of underlying nonviable tissue, and well-vascularized soft-tissue coverage. Many complex or 'hostile' back wound closures also require stabilization of the spine and a two-layered wound closure. The use of long arteriovenous fistulas with free tissue transfer provides an additional weapon for the treatment of these complex wounds.

Original languageEnglish (US)
Pages (from-to)2448-2451
Number of pages4
JournalPlastic and reconstructive surgery
Issue number7
StatePublished - Jun 2000

ASJC Scopus subject areas

  • Surgery


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