The free groin flap results in less donor-site morbidity than other skin flaps and is suitable for use in children and adolescents. However, the vascular pedicle is relatively short and vessel diameter is small, which makes vascular anastomosis technically difficult. To overcome this limitation, we harvested vein and arterial grafts from the flap elevation area without placing additional skin i...

The latissimus dorsi (LD) flap is one of the most common flaps used in plastic surgery based on its dominant thoracodorsal pedicle as well as free tissue transfer. The "distally based" or "reverse" fashion design has been used to repair myelomeningoceles, congenital diaphragmatic agenesis, or thoracolumbar defects. We present a case of a large lumbar defect after cancer resection covered by a c...

The groin flap is a reliable and well-established reconstructive option for pedicled or free-tissue transfer. Concern regarding its variable vascular origin and caliber has limited its use. To overcome this, a simplified guideline based on the transverse diameter of the patient's index and long fingers at the distal interphalangeal level has been developed. Thus "rule of two finger widths" posi...

Introduction. The reconstruction of columella defects is still regarded as a challenging procedure due to the very specific anatomy and limited local regional flap options. Furthermore, texture color tissue pose difficulties in choosing right method reconstruction. Case report. report presents patient who underwent complex defect using Schmid-Meyer flap. represents tubular with an internal supr...

BACKGROUND Mastectomies are one of the most common surgical procedures in women of the developed world. The gracilis myocutaneous flap is favoured by many reconstructive surgeons due to the donor site profile and speed of dissection. The distal component of the longitudinal skin paddle of the gracilis myocutaneous flap is unreliable. This study quantifies the fasciocutaneous vascular territorie...

The article presents a clinical case of perineal defect reconstruction using VRAM flap in patient with vulvar cancer. Stepwise surgical treatment method is described. A multidisciplinary meeting allows to realize plan help for such patients the goal treating oncological process and its complications. We have proposed variant through transfer vertical rectus abdominis musculocutaneous vascular p...

background and aims. localized gingival recession presents as a special therapeutic problem. subjective parameters and donor site morbidity are often overlooked while deciding on any treatment option. materials and methods. 22 subjects were equally divided in group a (lateral pedicle graft) and group b (free mucosal graft). subjective evaluation of post operative sensitivity, discomfort and ble...

OBJECTIVE To characterize revision surgery following V-Y subcutaneous tissue pedicle advancement flap repair of large upper lip skin defects. METHODS Retrospective review of upper lip skin defects at least 3.0 cm(2) in area that were reconstructed with a V-Y subcutaneous tissue pedicle advancement flap at an academic tertiary care center. Depth and area of the defect, as well as involvement o...

1 Sir: T homodigital island flap can be used to cover small soft-tissue defects. Many authors1,2 have described the technical steps with regard to the elevation of this island flap and have discussed the importance of preserving the adipofascial tissue around the digital artery. This approach avoids problems with venous congestion and thus flap loss. In Lai’s2 original description of the revers...

BACKGROUND Aesthetic surgery of female genitalia is an uncommon procedure, and of the techniques available, labia minora reduction can achieve excellent results. Recently, more conservative labia minora reduction techniques have been developed, because the simple isolated strategy of straight amputation does not ensure a favorable outcome. This study was designed to review a series of labia min...