Summary Background Despite continuous surgical advances, reconstruction of complex lower extremity wounds remains challenging. The indication local flaps or microsurgical free tissue transfer depends on the anatomical location and size defect, as well comorbidities general condition patient. In this study, flap distal defects was assessed, postoperative complications limb salvage were analyzed....

Developments in microsurgical techniques and instruments have enabled the high success rate of microvascular tissue transfers. Initially, the survival of a free flap is dependent on its vascular pedicle, and the failure of flaps generally occurs within seven days of surgery. Several experimental studies have shown that pedicles can be ligated 5 to 10 days after the operation. Hence, at that tim...

117 South Korea has the highest prevalence of tuberculosis among the Organization for Economic Cooperation and Development nations [1], despite the management of pulmonary tuberculosis with antituberculosis drugs. Therefore, South Korea also has a relatively high prevalence of tuberculous empyema, a complication of tuberculosis that accounts for 3%–6% of all cases of empyema [2]. A chronic, act...

The extended latissimus dorsi flap (LD) is used in breast reconstruction since the 70's. LD flap is often used in corrective surgery in cases of unsatisfactory cosmetic results after breast-conserving therapy. In our department LD flap has several uses. In addition to free microvascular flaps - which applies in breast reconstructive surgery is routine, there are clinical situations where the us...

BACKGROUND We present a unique case of a cardiac transplant recipient who received an oversized heart. METHODS To allow the chest to accommodate the organ, extensive resection of the bony chest wall was performed. As both pectoralis major myocutaneous flaps and omental transposition were insufficient to cover the wound, a chest rotational flap was chosen. RESULTS The large size of the flap ...

Background Seroma formation is a major complication following latissimus dorsi (LD) flap transfer for breast reconstruction. We implanted a nonwoven polyglycolic acid (PGA) fabric-a biodegradable polymer-in the LD flap donor site and examined its effect on postoperative seroma formation and resolution in a comparative study on 38 patients undergoing primary 1-stage breast reconstruction by LD f...

We compared the mechanical properties of normal and reconstructed heel pads in seven patients. Four had latissimus dorsi flaps and one each an anterior thigh flap, a local dorsalis pedis flap and a sural arterial flap. The thickness of the heel pad was measured under serial incremental loads of 0.5 kg to a maximum of 3 kg and then relaxed sequentially. The load-displacement curve of the heel pa...