scholarly journals Combined Method with Free Omentum Flap and Split-thickness Skin Flap for Hand Reconstruction Following Radical Excision of an Arteriovenous Malformation

2019 ◽  
Vol 7 (5) ◽  
pp. e2186
Author(s):  
Takaharu Hatano ◽  
Hisashi Motomura ◽  
Ayaka Deguchi ◽  
Heishiro Fujikawa ◽  
Shusaku Maeda
Keyword(s):  
Arteriovenous Malformation ◽  
Skin Flap ◽  
Radical Excision ◽  
Combined Method ◽  
Hand Reconstruction ◽  
Thickness Skin ◽  
Omentum Flap

Split-Thickness Skin Excision: Its Use for Immediate Wound Care in Crush Injuries of the Foot

Foot & Ankle ◽  
1989 ◽  
Vol 10 (2) ◽  
pp. 54-60 ◽  
Author(s):  
Mark Myerson
Keyword(s):  
Wound Care ◽  
Skin Flap ◽  
Free Flaps ◽  
Complete Coverage ◽  
Compartment Syndromes ◽  
Wound Debridement ◽  
Thickness Skin ◽  
Skin Excision ◽  
Crush Injuries ◽  
Skin Coverage

Split-thickness skin excision (STSE) was used as an adjunctive modality in the treatment of eight crush injuries of the foot. Compartment syndromes were present in four feet and were treated with fasciotomy. Wound debridement, internal fixation of fractures, and STSE followed. This technique accurately determined the viability of the skin flap, simultaneously providing skin for local wound coverage. All flaps treated in this manner survived and all (100%) of the degloved STSE grafts healed. Additional procedures were performed in four patients (two free flaps and two split-thickness skin grafts) adjacent to the debrided flap for complete coverage. STSE proved to be an effective modality for skin coverage in crush injuries of the foot associated with degloving of skin.

Robotic omental flap harvest for near-total anterior chest wall coverage: a potential application of robotic techniques in plastic and reconstructive surgery

2021 ◽  
Vol 14 (2) ◽  
pp. e237887
Author(s):  
Serena Jingxi Day ◽  
Benzon Dy ◽  
Minh-Doan Nguyen
Keyword(s):  
Chest Wall ◽  
Reconstructive Surgery ◽  
Anterior Chest Wall ◽  
Chest Wall Resection ◽  
Widespread Application ◽  
Wall Defect ◽  
Plastic And Reconstructive Surgery ◽  
Thickness Skin ◽  
Omentum Flap ◽  
One Stage Reconstruction

We present the robotic harvest of a pedicled omentum flap for reconstruction of a near-total anterior chest wall defect. The patient was a 68-year-old woman with recurrent secondary chest wall angiosarcoma after previous mastectomy and radiation therapy. She underwent neoadjuvant chemotherapy and radiation, followed by wide radical chest wall resection with a final defect size of 15×35 cm. A one-stage reconstruction was performed with an omentum flap harvested by robotic technique and split-thickness skin grafts from thigh donor sites. The patient healed with minimal complications. Our case supports more widespread application of robotics in plastic and reconstructive surgery.

scholarly journals The effectiveness of local surgical technique in treatment of axillary bromhidrosis

2019 ◽  
Vol 7 (2) ◽  
pp. 187-191
Author(s):  
Thuong Nguyen Van ◽  
Tan Nguyen Manh ◽  
Phuong Pham Thi Minh ◽  
Trang Trinh Minh ◽  
Nghi Dinh Huu ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Skin Necrosis ◽  
Subcutaneous Tissue ◽  
Skin Flap ◽  
Life Quality ◽  
Arm Movement ◽  
Surgical Excision ◽  
Heart Valve Disease ◽  
Apocrine Glands ◽  
Thickness Skin

BACKGROUND: Up to now, surgical excision of apocrine glands still has been a method that yields high treatment results and low rate of odour recurrent for patients, but many people worry about some serious complications that have been observed postoperatively, such as hematoma and skin necrosis. These prolong wound healing, leading to unsightly scars in the axillary fossae. AIM: We conducted this research to investigate the effects and complications of our surgical technique for axillary bromhidrosis. METHODS: Forty-three patients with axillary bromhidrosis were treated. An elliptical incision was made at a central portion of the area marked, with both tips of the ellipse along the axillary crease. The elliptical skin with the subcutaneous tissue was removed en lock. The adjacent skin was undermined to the periphery of the hair-bearing area with straight scissors. The undermined subcutaneous tissue was removed with curved scissors, and the skin was defatted to become a full-thickness skin flap. Any suspected hemorrhagic spots were immediately coagulated electrosurgically. Appropriate drains were placed, and the treated area was covered with thick gauze to each axilla. Arm movement was strictly controlled in the first 3 days post-operatively. RESULTS: Thirty-one patients have been followed up and evaluated for 6 months. 56 out of 62 axillae (90.3%) showed good to excellent results for malodor elimination. All patients reported a reduction in axillary sweating. There were two axillae of skin necrosis and three axillae of hematoma, with one patient receiving an anticoagulant from a cardiologist after the first day of surgery, to treat heart valve disease. The Dermatology Life Quality Index (DLQI) score decreased significantly, and the quality of life improved after the operation. CONCLUSION: Our technique is a simple surgical procedure and easy to perform helping to achieve results for high malodor elimination, with almost no serious complications. Patient’s life quality improved significantly after the operation.

The Usefulness of Retroauricular Full Thickness Skin Graft in Hand Reconstruction

2014 ◽  
Vol 19 (3) ◽  
pp. 109 ◽  
Author(s):  
Hong-Il Kim ◽  
Sang-Hwan Lee ◽  
So-Min Hwang ◽  
Yong-Hui Jung ◽  
Hyung-Do Kim
Keyword(s):  
Skin Graft ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Hand Reconstruction ◽  
Full Thickness Skin ◽  
Thickness Skin

Split-Thickness Skin Flap Technique for Elevating the Radial Forearm Flap

2009 ◽  
Vol 124 (3) ◽  
pp. 1007 ◽  
Author(s):  
Surinder Singh Makkar ◽  
Ramesh K. Sharma ◽  
Atul Parashar
Keyword(s):  
Skin Flap ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Flap Technique ◽  
Thickness Skin ◽  
Radial Forearm

scholarly journals Free anterolateral thigh full-thickness skin flap with vascularized lateral femoral cutaneous nerve for the reconstruction of facial nerve and external auditory canal after the resection of facial nerve schwannoma

2017 ◽  
Vol 5 ◽  
pp. 2050313X1774182
Author(s):  
Ryo Karakawa ◽  
Mitsunaga Narushima ◽  
Shinya Ogishima ◽  
Hisako Hara ◽  
Shotaro Karino ◽  
...  
Keyword(s):  
Facial Nerve ◽  
External Auditory Canal ◽  
Skin Flap ◽  
Cutaneous Nerve ◽  
Lateral Femoral Cutaneous Nerve ◽  
Anterolateral Thigh Flap ◽  
Full Thickness ◽  
Thickness Skin ◽  
Anterolateral Thigh ◽  
Femoral Cutaneous Nerve

The complex reconstruction of nerves and soft tissue in the head and neck region is still challenging, especially in cases requiring external auditory canal reconstruction with facial nerve reconstruction. We report a case of left facial schwannoma extending into the external auditory canal beyond the tympanic membrane with facial paralysis in which the reconstruction of both the facial nerve and external auditory canal was successfully performed using an anterolateral thigh flap as a super-thin full-thickness skin flap, including vascularized lateral femoral cutaneous nerve. Resection of 20 mm × 46 mm facial schwannoma, including the skin of the external auditory canal, tympanic membrane, incus and malleus, was performed. The 8-cm nerve gap was repaired using a vascularized lateral femoral cutaneous nerve included in the anterolateral thigh flap. An 8 cm × 2 cm super-thin, free anterolateral thigh flap was then rolled up as a sac (diameter of 2 cm, height of 2 cm) and inset to the external auditory canal defect. The postoperative course was uneventful, and the flap survived completely. One year and nine months after the surgery, the patient’s facial movement has improved to the pre-surgery level.

Split-Thickness Skin Flap Technique for Elevating the Radial Forearm Flap

2009 ◽  
Vol 123 (1) ◽  
pp. 284-287 ◽  
Author(s):  
Akiyoshi Kajikawa ◽  
Kazuki Ueda ◽  
Yoko Katsuragi
Keyword(s):  
Skin Flap ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Flap Technique ◽  
Thickness Skin ◽  
Radial Forearm
Sign in / Sign up

Export Citation Format

Share Document