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About: Reconstructive ladder     Goto   Sponge   NotDistinct   Permalink

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The reconstructive ladder is the set of levels of increasingly complex management of wounds in reconstructive plastic surgery. The surgeon should start on the lowest rung and move up until a suitable technique is reached. There are several small variations in the reconstructive ladder in the scientific literature, but the principles remains the same: 1. * Healing by secondary intention 2. * Primary closure 3. * Delayed primary closure 4. * Split thickness graft 5. * Full thickness skin graft 6. * Tissue expansion 7. * Random flap 8. * Axial flap 9. * Free flap