scholarly journals Abdominal-based adipocutaneous advancement flap for reconstructing inguinal defects with contraindications to standard reconstructive approaches: a simple and safe salvage reconstructive option

2021 ◽  
Vol 48 (4) ◽  
pp. 395-403
Author(s):  
Clara Schaffer ◽  
Daniel Haselbach ◽  
Luigi Schiraldi ◽  
Karl Sörelius ◽  
Daniel F. Kalbermatten ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Femoral Artery ◽  
Advancement Flap ◽  
Soft Tissue Coverage ◽  
Deep Femoral Artery ◽  
Tissue Quality ◽  
Simple Alternative ◽  
Reconstructive Option ◽  
Advancement Flaps

Background Groin wounds occurring after vascular surgical site infection, oncologic resection, or occasionally orthopedic surgery and trauma may represent a surgical challenge. Reconstruction of these defects by the usual workhorse flaps may be contraindicated following previous surgery and in patients with lower limb lymphedema or extreme morbidity.Methods This study included 15 consecutive patients presenting with inguinal wounds after vascular or general surgery that required debridement and soft tissue coverage. All cases had absolute or relative contraindications to conventional reconstructive techniques, including a compromised deep femoral artery network, limb lymphedema, scarring of potential flap harvesting sites, or poor overall condition. Abdominal adipocutaneous excess enabled the performance of adipocutaneous advancement flaps in an abdominoplasty-like fashion. Immediate and long-term outcomes were analyzed.Results Soft tissue coverage was effective in all cases. Two patients required re-intervention due to flap-related complications (venous congestion and partial flap necrosis). All patients fully recovered over a mean±standard deviation follow-up of 2.4±1.5 years.Conclusions Abdominal flaps can be an effective and simple alternative technique for inguinal coverage with reproducible outcomes. In our experience, the main indications are a compromised deep femoral artery network and poor thigh tissue quality. Relative contraindications, such as previous open abdominal surgery, should be considered.

scholarly journals Can the deep femoral artery be used reliably as an inflow source for infrainguinal reconstruction? Long-term results in 563 procedures

1994 ◽  
Vol 20 (6) ◽  
pp. 889-895 ◽  
Author(s):  
R.Clement Darling ◽  
Dhiraj M. Shah ◽  
Benjamin B. Chang ◽  
William E. Lloyd ◽  
Robert P. Leather
Keyword(s):  
Femoral Artery ◽  
Long Term Results ◽  
Deep Femoral Artery

Closure of large tracheocutaneous fistula using turn-over hinge flap and V-Y advancement flap

2002 ◽  
Vol 116 (8) ◽  
pp. 627-629 ◽  
Author(s):  
Byung-Joo Lee ◽  
Eui-Kyung Goh ◽  
Soo-Geun Wang ◽  
So-Min Hwang
Keyword(s):  
Soft Tissue ◽  
Scar Tissue ◽  
Advancement Flap ◽  
Adjacent Soft Tissue ◽  
Fenestration Closure ◽  
Tracheocutaneous Fistula ◽  
Turn Over

Tracheocutaneous fistula is a frequent sequel of long-term tracheostomy or tracheal fenestration. Closure of fistula is complicated by the presence of extensive scar tissue, mucopurulent secretions, and tension from insufficient advancement of adjacent soft tissue. We report two successfully closed cases of large tracheocutaneous fistulae using a hinge flap and a V-Y advancement flap.

scholarly journals The deep femoral artery as a inflow source for distal reconstruction

2019 ◽  
Vol 41 part 2 (2) ◽  
pp. 35-38
Author(s):  
V. I. Rusyn ◽  
V. V. Korsak ◽  
V. V. Rusyn ◽  
F. V. Horlenco ◽  
V. M. Dobosh
Keyword(s):  
Quality Of Life ◽  
Femoral Artery ◽  
Limb Ischemia ◽  
Deep Femoral Artery ◽  
Autologous Vein ◽  
Vein Bypass ◽  
Profunda Femoris ◽  
Chronic Limb Ischemia

of the study. To improve the treatment outcomes of patients with occlusion-stenotic lesions of the femoral-popliteal-tibial segment, long-term results of the profundafemorispopliteal autologous vein bypass surgery have been studied. Material and methods. In the surgical clinic of A. Novak Regional Clinical Hospital during the last 10 years has been performed 300 isolated profundoplasty at chronic limb ischemia. In 16 p atients w ith d eep femoral popliteal autologous vein bypass, a distal segment of arteria profunda femoris was used as the «tidal» artery, which varied from 0,51 to 0,63 in diameter (0,58 cm in average). Results. In the immediate and long-term follow-up period, no thrombosis of profunda femoris popliteal autologous vein shunt was observed in 5 years. The ankle-brachial pressure index after surgery increases almost twice and approaches 0,9 on posterior tabial artery. The mean profunda popliteal collateral index score decreased to 0,301 ± 0,099 in all patients after surgery. If we compare the quality of life after profunda femoris popliteal autologous vein reconstruction, it should be noted that the quality of life in our patients before the operation was 21,8 ± 4,9 points, after the operation − 45,6 ± 4,9 points. Conclusion.Profundafemorispopliteal autologous vein bypass by a length of up to 15 cm provides blood supply to the limb with stenoticocclusive lesions of the femoral-popliteal-tibial segment, with the passage of at least one artery of the leg and the arteries of the pedis. Keywords: chronic limb ischemia; deep femoral artery, prufundoplasty.

scholarly journals Seromuscular Colonic Flap for Intrapelvic Soft-Tissue Coverage: A Reconstructive Option for Plastic Surgeons When Traditionally Used Flaps Are Not Available

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Johnathon Aho ◽  
Sebastian Winocour ◽  
Ziyad S. Hammoudeh ◽  
Heidi Nelson ◽  
Peter Rose ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Fluid Collection ◽  
Muscle Flap ◽  
Skin Incision ◽  
Alternative Methods ◽  
Soft Tissue Coverage ◽  
Challenging Problem ◽  
Reconstructive Option ◽  
Seromuscular Flap ◽  
Regional Muscle

Background. Reconstruction of intrapelvic defects can be a challenging problem in patients with limited regional muscle flap options and previously resected omentum. In such situations, alternative methods of mobilizing vascularized tissue may be required.Methods. A case of a patient that underwent pelvic extirpation for recurrent rectal cancer who had limited donor sites for flap reconstruction is presented. The mucosa was removed from a blind loop of colon, and a pedicled seromuscular flap based on the colonic mesentery was placed into the pelvis for vascularized soft-tissue coverage and elimination of dead space.Results. The postoperative course was only complicated by a small subcutaneous fluid collection beneath the sacrectomy skin incision, which was drained with radiological assistance. The patient recovered without any major postoperative complications.Conclusion. Seromuscular colonic flap is a useful option for soft-tissue coverage after pelvic extirpation and should be considered by plastic surgeons when other reconstruction options are not available.

Semilunar Coronally Advanced Periodontal Flap to Increase Soft Tissue Coverage of a Maxillary Fourth Premolar in a Dog

2017 ◽  
Vol 34 (2) ◽  
pp. 100-105 ◽  
Author(s):  
Allen Skinner ◽  
Brook Niemiec
Keyword(s):  
Soft Tissue ◽  
Blood Supply ◽  
Gingival Recession ◽  
Class I ◽  
Soft Tissue Coverage ◽  
Golden Retriever ◽  
Advancement Flaps ◽  
The Right

A 7-year-old, 31.3 kg spayed female Golden Retriever dog was presented for the treatment of Miller Class I gingival recession at the right maxillary fourth premolar (108). A semilunar coronally advanced periodontal flap was performed at this tooth and created an increase of approximately 3 mm of soft tissue coverage of the tooth. This method may have benefits over traditional periodontal advancement flaps in that there is no need for suturing, can be done more quickly, maintains lateral blood supply to the flap, and likely has decreased risk of surgical site dehiscence. This case shows that the semilunar coronally advanced periodontal flap demonstrates an appropriate method to treat Miller Class I gingival recession in the maxilla.

Surgery of the Deep Femoral Artery

1994 ◽  
Author(s):  
Marco P. Merlini ◽  
R. J. A. M. van Dongen ◽  
Michael Dusmet
Keyword(s):  
Femoral Artery ◽  
Deep Femoral Artery

scholarly journals Impact of cyclophosphamide on long-term reduction in sperm count in men treated with combination chemotherapy for ewing and soft tissue sarcomas

Cancer ◽  
1992 ◽  
Vol 70 (11) ◽  
pp. 2703-2712 ◽  
Author(s):  
M. L. Meistrich ◽  
G. Wilson ◽  
B. W. Brown ◽  
M. F. Da Cunha ◽  
L. I. Lipshultz
Keyword(s):  
Soft Tissue ◽  
Combination Chemotherapy ◽  
Sperm Count ◽  
Soft Tissue Sarcomas

Versatility of the Posterior Interosseous Artery Flap: Emphasis on Powering Up the Toe Transfer

Hand ◽  
2021 ◽  
pp. 155894472110289
Author(s):  
GiJun Lee ◽  
BumSik Kim ◽  
Neunghan Jeon ◽  
JungSoo Yoon ◽  
Ki Yong Hong ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Upper Extremity ◽  
Reverse Flow ◽  
Donor Site ◽  
Congenital Defects ◽  
Soft Tissue Coverage ◽  
Posterior Interosseous Artery ◽  
Arterial Inflow ◽  
Pedicle Length ◽  
Interosseous Artery

Background: Reverse-flow posterior interosseous artery (rPIA) flap is an excellent tool for restoration of defects in the hand and upper extremity, sparing the main arteries to the hand. Its reliability has been well established. Materials and Methods: Fifty-one cases of rPIA flap involving 49 patients were retrospectively reviewed. The inclusion criteria were age, sex, etiology, size and location of the defect, flap size, number of perforators included, pedicle length, flap inset, donor site coverage, complications, and ancillary procedures. Results: This study included 44 men and 5 women, ranging in age between 10 and 73 years. The subjects had soft tissue defects of the hand and upper extremity mainly due to traumatic injuries, including scar contractures of the first web space in 18 cases, thumb amputations in 6 cases, and congenital defects in 1 case. Among the 51 rPIA flap elevations, 3 cases involved flap failure due to the absence of proper pedicle. A fasciocutaneous pattern was observed in 45 cases and a myocutaneous pattern in 3 cases. In 5 cases of unplantable thumb amputations, the rPIA flap was performed for arterial inflow to the secondary toe-to-thumb transfer. Venous congestion of varying degrees was noted in 7 cases involving partial necrosis in 2 cases. During the mean 17 months of follow-up, patients were generally satisfied with the final outcomes. Conclusion: The rPIA flap can be used not only for soft tissue coverage of the hand and upper extremity but also as a recipient arterial pedicle for a secondary toe-to thumb transfer.

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