scholarly journals A New Extraperitoneal Method for Entero-atmospheric Fistula Closure Using a Free Muscle Flap

2021 ◽  
Vol 9 (11) ◽  
pp. e3918
Author(s):  
Louis de Weerd ◽  
Bård Bakkehaug ◽  
Malgorzata Gosciewska ◽  
Stig Norderval
Keyword(s):  
Muscle Flap ◽  
Fistula Closure ◽  
Free Muscle Flap

Reconstruction of the anterior skull base with free muscle flap after iatrogenic injury

2018 ◽  
Vol 81/114 (6) ◽  
pp. 707-708
Author(s):  
Andrej Sukop ◽  
Matěj Patzelt ◽  
Jiří Kozák ◽  
Robert Leško
Keyword(s):  
Skull Base ◽  
Muscle Flap ◽  
Anterior Skull Base ◽  
Iatrogenic Injury ◽  
Free Muscle Flap

Bone Exposure in the Leg: Is a Free Muscle Flap Mandatory?

2005 ◽  
Vol 116 (1) ◽  
pp. 170-177 ◽  
Author(s):  
Nicolas Verhelle ◽  
Jan Vranckx ◽  
Bert Van den Hof ◽  
Olivier Heymans
Keyword(s):  
Muscle Flap ◽  
Free Muscle Flap ◽  
Bone Exposure

Massive Hand Crush: The Role of a Free Muscle Flap to Obliterate the Dead Space and to Clear Deep Infection

2006 ◽  
Vol 31 (6) ◽  
pp. 588-592 ◽  
Author(s):  
F. DEL PIÑAL ◽  
D. PISANI ◽  
F. J. GARCÍA-BERNAL ◽  
J. REGALADO ◽  
F. J. DEL PINO ◽  
...  
Keyword(s):  
Dead Space ◽  
Muscle Flap ◽  
Deep Infection ◽  
Flexor Tendons ◽  
Free Muscle Flap ◽  
Radical Debridement ◽  
Crush Injuries ◽  
The Dead ◽  
Dead Tissue

Death of tissue and/or deep infection leading to amputation is not an uncommon course of events after massive crush injuries of the central part of the hand. Management of this injury faces the dual problem of having to carry out debridement in the central part of the hand which is radical enough to remove all dead tissue but which, in itself, creates a huge dead space in the depths of the wound. Inadequate debridement and/or leaving a dead space which fills with fluid and detritus behind the flexor tendons leads on to infection, devascularisation of the fingers and amputation. This paper presents the results of very radical debridement of the hand dorsal to the flexor tendons, including the intermetacarpal spaces, and filling the dead space with a well-vascularised free muscle flap in two hands which were referred in a pre-amputation stage, with one already being infected. Both hands were salvaged.

The Serratus Anterior Free-Muscle Flap

1990 ◽  
Vol 86 (3) ◽  
pp. 481-490 ◽  
Author(s):  
Timothy M. Whitney ◽  
Harry J. Buncke ◽  
Bernard S. Alpert ◽  
Gregory M. Buncke ◽  
William C. Lineaweaver
Keyword(s):  
Muscle Flap ◽  
Serratus Anterior ◽  
Free Muscle Flap

scholarly journals Simultaneous debridement, Ilizarov reconstruction and free muscle flaps in the management of complex tibial infection

2020 ◽  
Vol 6 (3) ◽  
pp. 63-72
Author(s):  
Max Mifsud ◽  
Jamie Y. Ferguson ◽  
David A. Stubbs ◽  
Alex J. Ramsden ◽  
Martin A. McNally
Keyword(s):  
Muscle Flap ◽  
Tissue Loss ◽  
Bony Union ◽  
Ilizarov Method ◽  
Muscle Flaps ◽  
Flap Transfer ◽  
Non Union ◽  
Free Muscle Flap ◽  
Initial Surgery

Abstract. Chronic bone infections often present with complex bone and soft tissue loss. Management is difficult and commonly delivered in multiple stages over many months. This study investigated the feasibility and clinical outcomes of reconstruction in one stage. Fifty-seven consecutive patients with chronic osteomyelitis (n=27) or infected non-union (n=30) were treated with simultaneous debridement, Ilizarov method and free muscle flap transfer. 41 patients (71.9 %) had systemic co-morbidities (Cierny-Mader group Bs hosts). Infection was confirmed with strict criteria. 48 patients (84.2 %) had segmental defects. The primary outcome was eradication of infection at final follow-up. Secondary outcomes included bone union, flap survival and complications or re-operation related to the reconstruction. Infection was eradicated in 55∕57 cases (96.5 %) at a mean follow-up of 36 months (range 12–146). No flap failures occurred during distraction but 6 required early anastomotic revision and 3 were not salvageable (flap failure rate 5.3 %). Bony union was achieved in 52∕57 (91.2 %) with the initial surgery alone. After treatment of the five un-united docking sites, all cases achieved bony union at final follow-up. Simultaneous reconstruction with Ilizarov method and free tissue transfer is safe but requires careful planning and logistic considerations. The outcomes from this study are equivalent or better than those reported after staged surgery.

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