scholarly journals Achieving Direct Closure of the Anterolateral Thigh Flap Donor Site—An Algorithmic Approach

2014 ◽  
Vol 2 (10) ◽  
pp. e232 ◽  
Author(s):  
Jaime Eduardo Pachón Suárez ◽  
Parviz Lionel Sadigh ◽  
Hsiang-Shun Shih ◽  
Ching-Hua Hsieh ◽  
Seng Feng Jeng
2020 ◽  
Vol 48 (5) ◽  
pp. 030006052092537
Author(s):  
Song Gu ◽  
Yuxuan Zhang ◽  
Yinjun Huang ◽  
Huichao Fu ◽  
Guheng Wang ◽  
...  

Objective This study was performed to compare the modified direct closure method and traditional skin grafting for wounds at the anterolateral thigh (ALT) flap donor site. Methods Among 29 consecutive patients with wounds at the ALT flap donor site, 14 underwent the modified direct closure method (MDC group) and 15 underwent traditional skin grafting (SG group). The operative time, follow-up time, complications, Vancouver Scar Scale (VSS) score, and Scar Cosmesis Assessment and Rating (SCAR) score of the two groups were statistically analyzed. Results The mean follow-up times in the MDC and SG group were 16.1 and 16.7 months, respectively. Two patients showed partial skin necrosis after skin grafting, but the remaining patients’ wounds healed uneventfully. The operative time in the MDC group was an average of about 64 minutes shorter than that in the SG group. The average VSS and SCAR scores in the MDC group were 2.1 and 3.0 points lower, respectively, than those in the SG group. Conclusions Compared with traditional skin grafting, the modified direct closure method is more efficient for repair of wounds at the ALT flap donor site because of its shorter operative time, better postoperative appearance of the donor site, and higher patient satisfaction.


2017 ◽  
Vol 45 (12) ◽  
pp. 2105-2108 ◽  
Author(s):  
Hannes Weise ◽  
Andreas Naros ◽  
Gunnar Blumenstock ◽  
Michael Krimmel ◽  
Sebastian Hoefert ◽  
...  

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