Reusing of the Failing Free Flap “Nutrient Flap” as Salvage Procedure

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Reusing of the Failing Free Flap “Nutrient Flap” as Salvage Procedure

SUMMARY A 26-year-old woman sustained a traffic accident injury to her left medial malleolus. A soft-tissue defect 15 × 7 cm with exposure of bone was found and underwent free anterolateral thigh flap to cover it. On the second postoperative day, venous congestion occurred and re-exploration was performed. Re-anastomosis of the vein was done after the thrombectomy; unfortunately, the flap did n...

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The free latissimus dorsi flap as primary free flap and crane flap with secondary pedicled transfer.

We are reporting a case of a 43-year-old woman, who developed a soft tissue defect of the knee region following complex lower limb trauma. The defect was covered with a microvascular latissimus dorsi (LD) flap. The patient required a total knee replacement and developed a defect at the anterior aspect of the knee. This defect was covered by a second free LD flap from the ipsilateral side with a...

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Analysis of risk factors for flap loss and salvage in free flap head and neck reconstruction.

BACKGROUND Risk factors and techniques for free flap salvage in head and neck reconstruction are poorly described. METHODS We conducted a retrospective review of all head and neck free flaps performed from 2000 to 2010. RESULTS Overall, 151 of 2296 flaps (6.6%) underwent salvage for microvascular complications. Age, comorbidities, surgeon experience (p = .88), vein grafts, and supercharging...

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Diabetic limb salvage procedure with bone allograft and free flap transfer: a case report

The aim of this case report was to describe a successful diabetic limb salvage procedure in the treatment of an infected diabetic foot ulcer through a multidisciplinary team approach and complex surgical reconstruction involving a femoral head bone allograft and musculocutaneous latissimus dorsi free flap. The decision to proceed with aggressive staged efforts at diabetic limb salvage should be...

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Accidental latissimus dorsi flap pedicle avulsion during immediate breast reconstruction: salvage by conversion to free flap.

Pedicle damage is a rare complication of latissimus dorsi (LD) flap breast reconstruction. We report a case of accidental avulsion of the vascular pedicle of a totally autologous (extended) LD flap during immediate breast reconstruction in a patient who had previously undergone contralateral breast reconstruction with a pedicled TRAM flap based on the opposite superior epigastric vessels. The i...

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ژورنال

عنوان ژورنال: Plastic and Reconstructive Surgery Global Open

سال: 2014

ISSN: 2169-7574

DOI: 10.1097/gox.0000000000000026