A Novel Endoscopic-Assisted Harvesting of Pedicled Freestyle Fasciocutaneous Flaps

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A Novel Endoscopic-Assisted Harvesting of Pedicled Freestyle Fasciocutaneous Flaps

The endoscopy-assisted technique has been demonstrated in harvesting muscle flaps; however, for pedicled freestyle fasciocutaneous flaps, few studies have applied this technique. We present a surgical procedure utilizing endoscopic-assisted method to identify the perforators of pedicled freestyle fasciocutaneous flaps for the reconstruction of soft tissue defects. From August to December 2012, ...

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Freestyle pedicled perforator flaps: safety, prevention of complications, and management based on 85 consecutive cases.

BACKGROUND Despite the widespread use of free perforator flaps, pedicled perforator flaps seem not to be as widely accepted, probably because of the fear of vascular complications caused by transfer of a flap attached only by its vascular pedicle, prone to shearing, kinking, and trauma. In this article, the authors report on their experience with 85 consecutive cases, focusing on incidence, pre...

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Abstract: 17.00 Freestyle Pedicled Perforator And Propellar Flaps: Anatomic Studies And Clinical Application

Results: Approximately 80% of patients had AWR with component separation and 8% had a bridged repair. The most frequently used mesh was porcine (Strattice, 56.5%), followed by bovine (Surgimend, 31.1%) and human (Alloderm, 10.9%). There were 31 (16.2%) hernia recurrences with a surgical site occurrence rate of 25.1%. Among these patients, 13% had hernia recurrence within 3 years, while 16.7% at...

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Immediate Reconstruction of Complex Hand Trauma With Iliac Crest Bone Graft and 2 Pedicled Fasciocutaneous Skin Flaps: A Case Report

OBJECTIVE The decision about primary or staged reconstruction of all structures in severe hand injuries is controversial. The purpose of this case report is to present a surgical protocol that lead to good functional results and rapid recovery after primary bone grafting with pedicled flap coverage of a complex hand injury. METHODS A case is reported in which 2 iliac crest bone grafts, an ext...

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Superficial ulnar artery: curse or blessing in harvesting fasciocutaneous forearm flaps.

BACKGROUND Superficial ulnar artery is a well-known vascular anomaly that may cause special risks because of possible impairment of the vessel by mistake during harvesting fasciocutaneous forearm flaps. METHODS The charts of patients who had undergone forearm flap transfer were reviewed for vascular anomalies. When a superficial ulnar artery was present, a superficial ulnar artery flap was ra...

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ژورنال

عنوان ژورنال: Medicine

سال: 2015

ISSN: 0025-7974

DOI: 10.1097/md.0000000000000592