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https://www.readbyqxmd.com/read/28425594/trilobed-pedicled-superior-gluteal-artery-perforator-flap-for-lumbosacral-defect-coverage
#1
Ji Min Kim, Jun Ho Lee, Deuk Young Oh, Suk-Ho Moon
BACKGROUND: There are many available options for the coverage of lumbosacral area defects. Surgeons usually use the superior gluteal artery perforator flap (SGAP) by rotational fashion, which risks complications, such as wound dehiscence or skin necrosis at the Y-point on the donor site due to the tension. In this report, the authors present the experience of using trilobed pedicled SGAP flaps in coverage of the lumbosacral area defects. METHODS: From 2011 to 2015, 16 trilobed pedicled SGAP flaps were performed for the coverage of sacral defects in our facility...
April 20, 2017: Microsurgery
https://www.readbyqxmd.com/read/28422830/management-of-the-extensive-thoracic-defects-after-deep-sternal-wound-infection-with-the-rectus-abdominis-myocutaneous-flap-a-retrospective-case-series
#2
Yue-Hua Li, Zhao Zheng, Jiaomei Yang, Lin-Lin Su, Yang Liu, Fu Han, Jia-Qi Liu, Da-Hai Hu
Deep sternal wound infection is a severe complication after open heart surgery. According to the different severity and dimensions of the deep sternal wound infection, the treatment method is different. In this study, we aimed to describe our experience with the rectus abdominis myocutaneous flap for large sternal wound management, especially when 1 or 2 internal mammary arteries were absent.Between October 2010 and January 2016, a retrospective review of 9 patients who suffered from the extensive thoracic defects after deep sternal wound infection was conducted...
April 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28403002/lateral-intercostal-perforator-flap-letter-response
#3
Joel A Aronowitz
No abstract text is available yet for this article.
May 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28403001/lateral-thoracodorsal-flap-or-lateral-intercostal-artery-perforator-flap-what-is-in-the-name
#4
Thomas Sjøberg, Louis de Weerd
No abstract text is available yet for this article.
May 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28402999/clinical-application-and-the-free-posterior-thigh-perforator-flap
#5
Xiucun Li, Jianli Cui, Suraj Maharjan, Ziping Jiang, Laijin Lu, Xu Gong
OBJECTIVE: The posterior thigh region has been neglected as a donor site for free perforator flaps, likely due to difficulties in positioning the patient during surgery. This study describes the clinical application of the posterior thigh perforator flap based on the third perforating artery of the profunda femoris artery (PFA). METHODS: The free posterior thigh perforator flap based on the third perforating artery of the PFA was used for reconstruction of soft tissue defects in nine patients between February 2010 and May 2014...
May 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28397296/reconstruction-of-late-esophagus-perforation-after-anterior-cervical-spine-fusion-with-an-adipofascial-anterolateral-thigh-free-flap-a-case-report
#6
Ruben Coelho, Tomas Ekberg, Malin Svensson, Maria Mani, Andres Rodriguez-Lorenzo
Reconstruction of late esophageal perforation usually requires flap surgery to achieve wound healing. However, restoring the continuity between the digestive tract and retropharyngeal space to allow for normal swallowing remains a technical challenge. In this report, we describe the use of a thin and pliable free adipofascial anterolateral thigh (ALT) flap in a 47-year-old tetraplegic man with a history of C5-C6 fracture presented with a large posterior esophagus wall perforation allowing an easier flap insetting for a successful wound closure...
April 11, 2017: Microsurgery
https://www.readbyqxmd.com/read/28387356/pectoralis-major-myocutaneous-flap-for-head-and-neck-defects-in-the-era-of-free-flaps-harvesting-technique-and-indications
#7
Muyuan Liu, Weiwei Liu, Xihong Yang, Haipeng Guo, Hanwei Peng
The role of the pectoralis major myocutaneous flap (PMMF) in head and neck reconstruction is challenged recently due to its natural drawbacks and the popularity of free flaps. This study was designed to evaluate the indications and reliability of using a PMMF in the current free flap era based on a single center experience. The PMMF was harvested as a pedicle-skeletonized flap, with its skin paddle caudally and medially to the areola, including the third intercostal perforator, preserving the upper one third of the pectoralis major muscle...
April 7, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28372639/single-stage-separation-of-3-and-4-finger-incomplete-simple-syndactyly-with-contiguous-gull-wing-flaps-a-technique-to-minimize-or-avoid-skin-grafting
#8
Xiaofei Tian, Jun Xiao, Tianwu Li, Wei Chen, Qiu Lin, Harvey Chim
PURPOSE: Staged separation of 3- and 4-finger syndactyly is commonly performed owing to concerns about vascular supply to the central digit and availability of flap skin. We performed single-stage separation of patients with incomplete syndactyly of multiple digits with adjacent contiguous dorsal gullwing flaps and avoided skin grafts in the majority of cases. METHODS: Seventy-four webs of 31 patients with more than 2-finger incomplete syndactyly were included. Median age at surgical separation was 12 months (range, 5-123 months)...
April 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28371369/peri-vulvar-reconstruction-using-internal-pudendal-artery-perforator-flap-in-female-fournier-s-gangrene
#9
Sang O Baek, Seong H Park, Jong W Rhie, Hyun H Han
Fournier's gangrene in female patients has low incidence rate but high mortality rate compared with that in males, with many cases resulting in death at acute phase. This is due to the differences in male and female genital anatomy, which should be fully understood by physicians to increase the patient's survival rate. After crossing the acute phase of the disease by an appropriate treatment, it is important to reconstruct vaginal or vulvar defects according to the patient's three-dimensional anatomical structures...
March 29, 2017: International Wound Journal
https://www.readbyqxmd.com/read/28370199/anterior-intercostal-artery-perforator-flap-in-immediate-breast-reconstruction-anatomical-study-and-clinical-application
#10
Cristian Carrasco-López, Juan Francisco Julian Ibañez, Jordi Vilà, Miguel Angel Luna Tomás, Jordi Navinés López, Iciar Pascual Miguel, Jaime Fernandez-Llamazares-Rodriguez, Carmen Higueras-Suñe
BACKGROUND: Although the use of lateral intercostal artery perforator (ICAP) flaps for immediate breast reconstruction has been widely described, data on the use of the anterior ICAP (AICAP) flaps for this indication are limited. In this context, we describe the results of anatomical study and our clinical experience with AICAP flaps for breast reconstruction. METHODS: In this study, the location and characteristics of the AICAPs were dissected in 12 female adult formalin-preserved hemitrunks and two fresh-frozen cadavers...
March 28, 2017: Microsurgery
https://www.readbyqxmd.com/read/28363665/-extension-of-the-thoracodorsal-artery-perforator-flap-s-pedicle-anatomical-study
#11
M Lenglet, S Dast, L Dessena, C Herlin, B Chaput, E Havet, R Sinna
PURPOSE: In recent years, the indications of latissimus dorsi myocutaneous flap decreased in favor of its version preserving muscle: the thoracodorsal artery perforator flap (TDAP). The intramuscular dissection reduce donor site morbidity but also allows an extension of the pedicle compared to conventional latissimus dorsi flap pedicle. The purpose of this study was to quantify objectively elongation of the pedicle when the perforator is dissected through the muscle. METHOD: Sixteen TDAP flap were dissected in 9 cadavers...
March 28, 2017: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/28363228/super-thin-and-suprafascial-anterolateral-thigh-perforator-flaps-for-extremity-reconstruction
#12
Akhil K Seth, Matthew L Iorio
Background The anterolateral thigh (ALT) flap remains a workhorse for soft tissue reconstruction. However, the traditional ALT flap is often too bulky for resurfacing shallow, distal extremity defects, prohibiting adequate function, or well-fitted orthotics. This study evaluates extremity reconstruction using ALT flaps elevated in the suprafascial or super-thin plane. Methods Retrospective review of ALT free flap reconstruction from October 2014 to July 2016 was performed. Suprafascial and super-thin flaps were those elevated just above the crural fascia and within the superficial scarpal plane, respectively...
March 31, 2017: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/28352602/peroneal-flap-clinical-application-and-cadaveric-study
#13
Yooseok Ha, Kwan Koo Yeo, Yibo Piao, Sang-Ha Oh
BACKGROUND: The goal of this study was to investigate the anatomy of the peroneal artery and its perforators, and to report the clinical results of reconstruction with peroneal artery perforator flaps. METHODS: The authors dissected 4 cadaver legs and investigated the distribution, course, origin, number, type, and length of the perforators. Peroneal artery perforator flap surgery was performed on 29 patients. RESULTS: We identified 19 perforators in 4 legs...
March 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28352599/assessment-of-tissue-perfusion-following-conventional-liposuction-of-perforator-based-abdominal-flaps
#14
Zeynep Deniz Akdeniz Doğan, Bülent Saçak, Doğuş Yalçın, Özgür Pilancı, Fatma Betül Tuncer, Özhan Çelebiler
BACKGROUND: The effect of liposuction on the perforators of the lower abdominal wall has been investigated in several studies. There are controversial results in the literature that have primarily demonstrated the number and patency of the perforators. The aim of this study was to determine the effect of liposuction on the perfusion of perforator-based abdominal flaps using a combined laser-Doppler spectrophotometer (O2C, Oxygen to See, LEA Medizintechnik). METHODS: Nine female patients undergoing classical abdominoplasty were included in the study...
March 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28350683/the-relationship-of-superficial-cutaneous-nerves-and-interperforator-connections-in-the-leg-a-cadaveric-anatomical-study
#15
Adam C Gascoigne, G Ian Taylor, Russell J Corlett, Chris Briggs, Mark W Ashton
BACKGROUND: The lower limb is a source of many flaps both for closure of local defects and for free transfer. Fasciocutaneous flap techniques have been progressively refined, although the vascular basis for their success needs clarification. METHODS: Archival studies of 48 lower limbs were reviewed and combined with 20 studies of lower limbs from fresh cadavers, making a total of 68 investigations. Lower limbs were injected with a dilute lead oxide solution; the integument was removed and radiographed; and the cutaneous nerves were dissected, tagged with wire, radiographed again, and their paths traced on the original images...
April 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28350651/application-of-posterior-thigh-three-dimensional-profunda-artery-perforator-perforasomes-in-refining-next-generation-flap-designs-transverse-vertical-and-s-shaped-profunda-artery-perforator-flaps
#16
Anita T Mohan, Lin Zhu, Yoo Joon Sur, Mohamed Morsy, Gregory J Michalak, Nirusha Lachman, Charalambos K Rammos, Michel Saint-Cyr
BACKGROUND: This study aimed to delineate and compare the hot spots and three-dimensional vascular territories of dominant profunda artery perforators in the posterior thigh region, and modifications in flap design are discussed. METHODS: Twenty-nine posterior thigh flaps were raised in fresh cadaveric specimens, and profunda artery perforators were documented. Dominant perforators were injected with iodinated contrast to assess perforasomes using computed tomographic angiography...
April 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28345420/peroneal-perforator-pedicle-propeller-flap-for-lower-leg-soft-tissue-defect-reconstruction-clinical-applications-and-treatment-of-venous-congestion
#17
Lifeng Shen, Yiyang Liu, Chun Zhang, Qiaofeng Guo, Wenhua Huang, Kelvin Kian Loong Wong, Shimin Chang
Objective To describe the characteristics of the perforator vessel in the peroneal artery of the lower leg and to explore the use of perforator pedicle propeller flaps to repair soft tissue defects in the lower leg, heel and foot. Methods This retrospective study enrolled patients with soft tissue defects of the distal lower leg, heel and foot who underwent surgery using peroneal perforator-based propeller flaps. The peroneal artery perforators were identified preoperatively by colour duplex Doppler ultrasound...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28345267/color-duplex-ultrasonography-versus-handheld-doppler-to-plan-anterior-lateral-thigh-flaps
#18
Bernd Lethaus, Christina Loberg, Anita Kloss-Brandstätter, Alexander K Bartella, Timm Steiner, Ali Modabber, Frank Hölzle, Jan Teichmann
BACKGROUND: The anterior lateral thigh flap (ALT) has become increasingly important in reconstructive surgery in the head and neck region. To cope with the problem of anatomical variability in the supplying blood vessels, preoperative evaluation is desirable. Purpose of the study is to compare the most commonly used Doppler devices Handheld Doppler (HD) and Color Doppler Ultrasonography (CDU) for their clinical reliability. METHODS: Forty five consecutive head and neck cancer patients (mean age 66...
March 27, 2017: Microsurgery
https://www.readbyqxmd.com/read/28340670/keystone-and-pedicle-perforator-flaps-in-reconstructive-surgery-new-modifications-and-applications
#19
REVIEW
Jasson T Abraham, Michel Saint-Cyr
Pedicle perforator flaps and keystone perforator island flaps are additional tools for reconstructive surgeons. Advances in understanding of vascular anatomy, the dynamic nature of perforator perfusion, inter-perforator flow and the hot-spot principle have led to reconstructive techniques that allow innovative autologous tissue transfer while limiting donor site morbidity. Further modifications of the pedicle perforator flap have led to a multitude of freestyle pedicle perforator flap options, as well as freestyle free flaps for soft tissue reconstruction...
April 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28340668/anastomosis-of-the-superficial-inferior-epigastric-vein-to-the-internal-mammary-vein-to-augment-deep-inferior-artery-perforator-flaps
#20
REVIEW
Aparna Vijayasekaran, Anita T Mohan, Lin Zhu, Basel Sharaf, Michel Saint-Cyr
Use of the retrograde limb of the internal mammary vein has been described previously as a lifeboat for venous congestion but not prophylactically. Maximizing the length of the deep inferior artery perforator (DIEP) flap pedicle, identifying and dissecting the superficial inferior epigastric vein proximally in every patient, and taking advantage of the retrograde internal mammary vein are all technical details that facilitate the additional venous anastomosis and flap inset. Performing a second venous anastomosis routinely using the superficial inferior epigastric vein to the retrograde internal mammary vein helps with flap inset...
April 2017: Clinics in Plastic Surgery
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