scholarly journals Using the Saphenous Artery and Great Saphenous Vein Combined with Anterolateral Thigh Flap to Treat Skin Defects after Amputation

2018 ◽  
Vol 03 (02) ◽  
pp. e70-e73
Author(s):  
Ling Kong ◽  
Han Cheng ◽  
Tao Nie ◽  
Min Dai
Keyword(s):  
Free Flap ◽  
Saphenous Vein ◽  
Lower Limb ◽  
Great Saphenous Vein ◽  
Limb Amputation ◽  
Flap Surgery ◽  
Skin Defects ◽  
Free Flap Surgery ◽  
Anterolateral Thigh ◽  
Saphenous Artery

Background Aim of this study was to determine the feasibility of using the saphenous artery (SA) and great saphenous vein (GSV) as recipient vessels, combined with anterolateral thigh (ALT) flap, in the treatment of skin defects after lower limb amputation. Methods From June 2015 to June 2017, 12 patients (average age, 33.5 years; range, 14–56 years; males, 9; female, 3) with large skin defects and symptoms of bone exposure in the proximal lower extremity were included in our study. The patients underwent emergency treatment and multiple debridement combined with vacuum sealing drainage therapy, followed by free flap surgery using the SA and GSV as recipient vessels, and ALT to cover the wound. Results All 12 patients who underwent free flap surgery survived, but two patients had distal flap necrosis, which, however, was salvaged with conservative measures. All patients were satisfied with the postoperative outcome at the 3 and 6-month follow-up. Conclusion The SA and GSV can be used as recipient vessels, combined with ALT, to treat skin defects after lower limb amputation.

scholarly journals Lower Extremity Reconstruction with Vascularized Free-Tissue Transfer: 20 Years of Experience in the Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

2021 ◽  
Vol 73 (7) ◽  
pp. 462-470
Author(s):  
Nutthawut Akaranuchat
Keyword(s):  
Survival Rate ◽  
Lower Extremity ◽  
Free Flap ◽  
Free Tissue Transfer ◽  
Flap Surgery ◽  
Free Flap Surgery ◽  
Anterolateral Thigh ◽  
Lower Extremity Reconstruction ◽  
Extremity Reconstruction ◽  
The Mean

Objective: The reconstruction of extensive soft-tissue defects in the lower extremity still poses a great challenge to plastic and reconstructive surgeons. The ideal approach is to achieve a proper soft-tissue coverage with a well-vascularized flap, which results in a durable weight-bearing surface and permits normal joint motion. This study aims to retrospectively analyze the outcomes of lower-extremity reconstruction with vascularized free-tissue transfer performed at our plastic surgery division. Materials and Methods: A retrospective chart review was performed regarding 58 patients with defects in the lower extremity which were reconstructed with vascularized free-tissue transfers between 2000 and 2019. Forty-four of the patients were male, and 14 were female. The mean age was 44.4 years (range: 6-89 years). The most common indication for free-flap surgery was a secondary reconstruction after tumor eradication (23 cases, 39.7%), and 84.8% of the defects were exposed bare bones, tendons, or joints.Results: In our 58 reviewed cases, the foot was the most common area requiring reconstruction with a free flap (68.9%), and the mean defect size was 12.5 x 8.1 cm. The most commonly used free flap was the Anterolateral thigh free flap (39.7%), followed by the Gracilis free flap (29.3%), and the Superficial circumflex iliac artery-perforator free flap (10.4%). The recipient vessels most frequently used were posterior tibialis vessels (53.4%). The overall flap-survival rate was 75.9%, though there was an increased survival rate of up to 85.7% in the last five years of the period studied. The flap-salvage rate was 40.9%, and arterial thrombosis was the major cause of flap loss (50%). Factors associated with free-flap failure were re-exploration and free flap surgery after tumor or cancer eradication. The most common post-operative complication was flap-wound dehiscence (10.3%). Two patients received a flap correction due to bulkiness, and three had recurrence of ulceration. Conclusion: Microvascular free-tissue transfers for lower- extremity-defect reconstructions are reliable and valuable as a surgical technique. In over 20 years of experience in our division, we’ve had an overall flap-survival rate of 75.9%. Our flap of choice was the Anterolateral thigh free flap.

Varioscope M5: A New Type of Magnification System in Anterolateral Thigh Perforator Free-Flap Surgery

2008 ◽  
Vol 25 (04) ◽  
pp. 227-231 ◽  
Author(s):  
Stefano Chiummariello ◽  
Cristiano Monarca ◽  
Luca Andrea Dessy ◽  
Carmine Alfano ◽  
Nicolò Scuderi
Keyword(s):  
Free Flap ◽  
Flap Surgery ◽  
Free Flap Surgery ◽  
Anterolateral Thigh ◽  
New Type

Reversed Arterial and Venous Flow in Free-Flap Surgery for Leg Reconstruction

2006 ◽  
Vol 22 (04) ◽  
Author(s):  
Soo Hahn ◽  
Sung Kim ◽  
Ho Kang ◽  
Sun Joo
Keyword(s):  
Free Flap ◽  
Flap Surgery ◽  
Venous Flow ◽  
Free Flap Surgery

scholarly journals Improvised perioperative techniques to meet the challenges of microvascular free flap surgery

2016 ◽  
Vol 3 (2) ◽  
pp. 99-100
Author(s):  
Soumi Pathak ◽  
Itee Chowdhury ◽  
Ajay Kumar Bhargava
Keyword(s):  
Free Flap ◽  
Neck Region ◽  
Flap Surgery ◽  
Surgical Morbidity ◽  
Head And Neck Region ◽  
Form And Function ◽  
Free Flap Surgery ◽  
And Function ◽  
Microvascular Free Flap

Deformities of the head and neck region after radical oncosurgery can have devastating effects on the appearance of the patient with significant impact on patients quality of life. Reconstruction of such defects continues to be an extremely demanding challenge for plastic surgeons who aim to restore form and function with minimal surgical morbidity. The purpose of this communications is to highlight the various interventions and the protocols that are adopted to decrease the free flap failure rate.  

scholarly journals Does Low-Dose Heparin Have a Significant Role in Free Flap Surgery?

2017 ◽  
Vol 18 (3) ◽  
pp. 162-165 ◽  
Author(s):  
Mun-Young An ◽  
Jin Yong Shin ◽  
Young-Keun Lee ◽  
M. Diya Sabbagh ◽  
Si-Gyun Roh ◽  
...  
Keyword(s):  
Significant Role ◽  
Free Flap ◽  
Low Dose ◽  
Flap Surgery ◽  
Dose Heparin ◽  
Free Flap Surgery ◽  
Low Dose Heparin

Designing a Masterclass in free flap surgery for head and neck surgeons: Our experience

Microsurgery ◽  
2020 ◽  
Vol 40 (8) ◽  
pp. 929-929
Author(s):  
Karim Tewfik ◽  
Alfonso Manfuso ◽  
Lazzaro Cassano ◽  
Nicola Pederneschi ◽  
Chiara Copelli
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Flap Surgery ◽  
Free Flap Surgery

Letter to the editor: International survey on arterial spasm during free flap surgery

2020 ◽  
Author(s):  
Jeanne Rosette ◽  
Rachid Garmi ◽  
Mariam Boutros ◽  
Mikhail Sinelnikov ◽  
Hervé Bénateau ◽  
...  
Keyword(s):  
Free Flap ◽  
International Survey ◽  
Flap Surgery ◽  
Arterial Spasm ◽  
Letter To The Editor ◽  
Free Flap Surgery
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