From step flap to hatchet flap: how to change an ongoing reconstructive procedure

2021 ◽  
Author(s):  
Imma Savarese ◽  
Diletta Bonciani ◽  
Laura Vanzi ◽  
Roberto Cecchi
Keyword(s):  
Reconstructive Procedure ◽  
Hatchet Flap

scholarly journals Iatrogenic Penile Glans Amputation: Major Novel Reconstructive Procedure

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Rami Nasr ◽  
Samer L. Traboulsi ◽  
Rami R. Abou Ghaida ◽  
Joseph Bakhach
Keyword(s):  
Traditional Method ◽  
Simple Procedure ◽  
Major Complication ◽  
Sexual Life ◽  
Surgical Reconstruction ◽  
Reconstructive Procedure ◽  
Neonatal Circumcision

Circumcision is a very common urological practice. Even though it is relatively safe, it is not a complication-free procedure. We describe a patient that underwent a neonatal circumcision complicated by iatrogenic complete glans amputation. Reconstructive repair of a neoglans using a modified traditional method was used. Postoperative followup to 90 days is illustrated. Despite being a simple procedure, circumcision in unprofessional hands can have major complication impacting the emotional and sexual life of patients. Surgical reconstruction is possible with varying satisfactory results.

Histopathological assessment of a two-stage reconstructive procedure of the infected Charcot foot

2021 ◽  
Author(s):  
Alexander T. Mehlhorn ◽  
Ulrich Illgner ◽  
Stefan Lemperle ◽  
Hubert Hoerterer ◽  
Veith Krenn ◽  
...  
Keyword(s):  
Reconstructive Procedure ◽  
Charcot Foot ◽  
Two Stage

The Double Hatchet Flap

2010 ◽  
Vol 12 (3) ◽  
pp. 198-201
Author(s):  
Leigh J. Sowerby ◽  
S. Mark Taylor ◽  
Corey C. Moore
Keyword(s):  
Hatchet Flap

scholarly journals Hatchet flap and rotation flap for distal dorsal finger defect reconstruction

2016 ◽  
Vol 49 (02) ◽  
pp. 283-284
Author(s):  
Jyoshid R. Balan
Keyword(s):  
Rotation Flap ◽  
Defect Reconstruction ◽  
Hatchet Flap

scholarly journals Cutaneous Flaps for Closing Skin Defects in Dogs

2016 ◽  
Vol 73 (2) ◽  
pp. 405
Author(s):  
Florin Beteg ◽  
Aurel Muste
Keyword(s):  
Skin Grafting ◽  
Clinical Results ◽  
Local Flaps ◽  
Reconstructive Procedure ◽  
Oncological Surgery ◽  
Tumor Removal ◽  
Traumatic Lesion ◽  
Skin Defects ◽  
Skin Fold ◽  
Versatile Technique

Cutaneous flaps are used for closing wounds caused by traumatic accidents, oncological surgery (tumor removal), and burns (thermal, chemical, radiations). Skin grafting has the advantages of requiring just only one surgery for closing the defects once the wound bed is adequately prepared.The objective of the study was  to describe and asses the eficiency  of local cutaneous flaps for closing  skin defects in dogs.Seven dogs  underwent reconstruction of soft tissue wounds resulted from traumatic lesion or  after large tumors removal. Skin defects were located on the trunk and limbs. Cutaneous local flaps(advancement and rotational) were created by surgical preparations and mobilization the full tickness skin fold to enabling closure of adjacent defects. After wound debridment or tumoral removal a very carefull atraumatic and aseptical preparation of the flaps  were performed to preserve vascularization for adecquate blood supply.Cutaneous local flaps  proved effective for closing large defects in all dogs. Partial marginal necrosis of a portion of the flap occurred in one dog because of  procedure and technique errors, but the concurent remanent defects were adequate  to primary closure.  The wounds ultimately healed , without major complications.The skin local flaps(advancement and rotational) are a versatile technique that could be  use in a variety of locations, depending on skin defects shape and localization. The clinical results are comparable with those reported for  advanced reconstructive procedure.

Elastic Wrapping of Lower Extremity Free Flaps during Dangling Improves Microcirculation and Reduces Pain as well as Edema

2019 ◽  
Vol 35 (07) ◽  
pp. 522-528 ◽  
Author(s):  
Jonas Kolbenschlag ◽  
Alexandra Ruikis ◽  
Lisa Faulhaber ◽  
Adrien Daigeler ◽  
Manuel Held ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Tissue Oxygen Saturation ◽  
Microvascular Reconstruction ◽  
Reconstructive Procedure ◽  
Hemoglobin Content ◽  
Edema Formation ◽  
The Impact

Background Free tissue transfer has become a common and safe reconstructive procedure. However, total or partial flap losses remain a looming threat, especially for lower extremity free flaps due to the gravitational challenge associated with dependency. Thus, the majority of microsurgical centers apply some kind of structured flap training. However, due to the lack of evidence, these differ greatly, for example, in the application of an elastic wrapping during dangling. Therefore, the aim of this study was to assess the impact of an elastic wrapping on free flap microcirculation, edema, and pain during dangling. Methods Standardized dangling was performed from postoperative day (POD) 6 to 9 in 30 patients with microvascular reconstruction of the lower extremity. The first dangling per day was performed without elastic wrapping, followed by another session with 30 mm Hg of elastic wrapping. Tissue oxygen saturation (StO2), regional hemoglobin content (rHb), and blood flow (BF) were continuously measured in the free flap; the circumference of the flap as well as pain was assessed. Results During wrapped dangling, BF as well as StO2 was significantly increased, while rHb was significantly lower on all PODs. Wrapped dangling was rated significantly more comfortable and the girth of the free flaps was significantly less after wrapped dependency when compared with unwrapped dangling. Conclusion Dangling with an elastic wrapping with 30 mm Hg pressure improved flap microcirculation and reduced pain and edema formation.

Helical Rim Reconstruction With Chondrocutaneous Hatchet Flap-Z Plasty

2019 ◽  
Vol 82 (5) ◽  
pp. 533-536
Author(s):  
Mustafa Durğun ◽  
Soysal Baş
Keyword(s):  
Hatchet Flap

Nail Transfer: Evolution of the Reconstructive Procedure

2003 ◽  
Vol 111 (7) ◽  
pp. 2376 ◽  
Author(s):  
Takashi Endo ◽  
Yoshio Nakayama
Keyword(s):  
Reconstructive Procedure

Hatchet Flap

2015 ◽  
Vol 26 (5) ◽  
pp. e407-e409
Author(s):  
Candemir Ceran ◽  
Fatih Tekin ◽  
Duriye D. Demirseren ◽  
Soner Tezcan ◽  
Ersin Aksam ◽  
...  
Keyword(s):  
Hatchet Flap
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