Complex wound reconstruction is used when a wound cannot heal adequately on its own and requires surgical repair to restore protection, stability and function. This may be necessary following trauma, burns, infection, cancer surgery or complications from previous operations, where skin, soft tissue or deeper structures have been lost or damaged.

Reconstruction is planned according to the size, depth and location of the wound, as well as the condition of the surrounding tissue. Techniques may include skin grafts, where skin is transferred from another area of the body, or tissue flaps, where nearby or distant tissue is repositioned with its blood supply intact. In some cases, reconstruction is carried out in stages to allow tissues to heal safely and reduce the risk of complications.

The primary goal is always to achieve reliable wound healing and protect underlying structures, with appearance considered once function and stability are secured. Recovery depends on the complexity of the wound and the method of reconstruction used, and careful follow-up is essential to support healing and long-term outcome.