BACKGROUND The profunda artery perforator flap has been emerging as an alternative method of autologous breast reconstruction. This flap uses upper posterior thigh tissue. The profunda artery perforator perforasome is investigated using three-dimensional computed tomographic angiography. METHODS Ten cadaveric thighs were dissected centered over the profunda artery perforator. The perforator w...

Loss of abduction power is a common problem after total hip arthroplasty (THA) and may lead to severe limp and instability. A surgical reconstruction technique using a gluteus maximus flap transfer was developed to repair deficient abductor muscles and capsule. The gluteus maximus muscle was split as in a posterior approach to the hip, and the anterior portion of the muscle was elevated as a fl...

Sir, The distally based anterolateral thigh flap is one anatomical variant of the versatile regional flap commonly employed to reconstruct large knee defects [1]. Venous congestion poses a common concern for such flaps as oedema can potentiate complications such as tip necrosis and eventually scar development. To limit loss of mobility secondary to scarring in the knee, the surgeon should take ...

BACKGROUND Obesity is an increasing national public health issue that has reached epidemic proportions over the past several decades. With new surgical advances in bariatric surgery, the massive-weight-loss patient population is on the rise. The generalized redundancy of skin following massive weight-loss, including lateral flank rolls, abdominal excesses, and buttock ptosis, is a problem amena...

The pudendal thigh flap or the Singapore flap is a versatile flap that can be used in the repair of recto-vaginal fistulae. Apart from the potential problem of hair growth, this neurovascular flap proves to be surprisingly simple in technique, robust and has a high potential for normal or near-normal function.

Abstract Anterolateral thigh (ALT) free flap is a commonly used for reconstruction of circumferential laryngopharyngeal defects. The harvested as an ellipse and tubed along its length. We would like to present design modification the ALT where tubing done width flap. This has advantages it allows two-layered closure without harvest additional tissue provides skin neck coverage also. After inset...

Meralgia paresthetica is a mononeuropathy which occurs as result of lateral femoral cutaneous nerve being under pressure at groin level; with numbness, pains and needles, and pain at external collateral and anterior thigh and inguinal region. Its treatment is conservative and surgical. In our study, we intended to present our clinical evaluation as result of transforaminal epidural steroid appl...

Restoration of a harmonious and pleasant appearance is a crucial aspect of surgical treatment for many congenital and acquired deformities of the face. A 38-year-old female patient with residual scarring on the right hemiface following evacuation of a odontogenic phlegmon underwent microsurgical reconstruction with a free adipofascial anterolateral thigh free flap. A stable result was achieved ...

A 47-year-old female with a locally advanced urologic malignancy previously managed with resection, diversion, and postoperative radiation therapy presented for management of her recurrent cancer that had eroded through the soft tissues of the left inner thigh and vulva. On all staging studies the tumor involved the left common femoral artery, and vein, both above and below the inguinal ligamen...

conclusions lower extremity movement extent was carefully evaluated and, in respect to muscle strength, the patient was able to walk independently three months after the surgery. the patient’s balance was studied and the results showed moderate levels of stability. case presentation this is a case report concerning a patient who had septic arthritis in the knee area and so underwent soft tissue...