1024 The Use of the Pedicled Anterolateral Thigh (ALT) Flap for the Reconstruction of Abdominal Wall Defects in High-Risk Patients: A Case Series and Systematic Review
نویسندگان
چکیده
Abstract Introduction The pedicled anterolateral thigh (ALT) flap is considered as a suitable option in complex abdominal wall reconstruction. Its use reconstructive infrequent the literature, and to date, there has been no systematic review evaluating its long-term outcomes. We report our experience with for reconstruction high-risk patients. Method A prospective database was created patients defects treated ALT extended fascia lata flaps between 2014 2017. Patient demographics, aetiology, size, location of defect post-operative results were reviewed. Abdominal classified into following zones: 1A, upper midline; 1B, lower 2, quadrant; 3, quadrant. literature conducted using PUBMED EMBASE. Results 4 (mean age 59.5 years, range 50-65 years) underwent flaps. 3 developed partial necrosis secondary infection; 1 required surgical debridement, 2 managed conservatively. There one failure, due avulsion pedicle during inset. At mean follow up 2.75 years (range have clinical bulging or herniation. Conclusions Review demonstrated 52 from 17 case series reports. overall infection loss rates both 6%. reported failures. Our study demonstrates that an effective repair large
منابع مشابه
Contralateral Pedicled Anterolateral Thigh Flap (ATL) for Upper Thigh Defect in the Era of Free ATL?
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2021
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znab259.710