UNLABELLED Soft tissue defects of the lower extremity pose an important surgical challenge, often because of inviability of primary covering. Therapeutic modalities of choice comprise of local perforator flaps, as well as of free flaps created with the use of microsurgical skills. However, these methods cannot be applied in patients with important comorbidities, and it is in such cases where th...

OBJECTIVE Multiple options for reconstruction of scalp defects exist with local tissue advancement and free tissue transfer the mainstay of reconstruction. Over the last 12 years, our tertiary referral hospital has performed more than 150 scalp reconstructions. We reviewed our experience with large scalp defects and evaluated whether free tissue transfer is a viable first option for reconstruct...

Currently there is no image-guided modality which is sufficient and exact enough to evaluate the perfusion of tissue in its different layers after transplantation of microvascular flaps. Examination of capillary filling after compression (refill) allows merely a vague estimation. The cutaneous blood flow can be shown with different methods of fluoroscopy, but the perfusion of deeper tissue laye...

BACKGROUND: Dermatologic surgeons routinely harvest pedicled flaps at distance with an axial or random pattern to repair facial defects. These types of skin flaps are time-consuming and have high economic, social and personal costs. These drawbacks could be avoided with the introduction of a single-step transfer of free flaps to the recipient site, with microvascular anastomosis. OBJECTIVE: To ...

background it has been reported that systemic administration of allopurinol improves cell survival. this study was aimed to evaluate effects of allopurinol on skin flaps in dogs. methods twenty dogs underwent one skin flap surgery with a 2-week interval. the first procedure was performed according to the standard protocols. the second phase was started by a 1-week pretreatment with allopurinol....

Posttraumatic wounds of the lower leg with soft tissue defects and exposed fractures are a reconstructive challenge due to the scarce availability of local tissues and recipient vessels. Even when a free tissue transfer can be performed the risk of failure remains considerable. When a free flap is contraindicated or after a free flap failure, the cross-leg flap is still nowadays a possible opti...

Following the introduction of microsurgical techniques the availability of free tissue transfer has radically transformed reconstructive possibilities for both oncological and surgical defects. This study is a review of 100 consecutive free tissue transfers (free flaps), carried out in 96 patients over a period of 25 months in our unit. The indications for surgery in this series mainly resulted...

Reconstruction of head and neck defects is a delicate endeavor that poses numerous intrinsic extrinsic challenges, which are currently magnified by rising health care costs limitations in system resources. Current trends the United States heavily favor use free tissue transfer over locoregional pedicles flaps (LRPF); however, latter group often undervalued, offering high utility, practicality, ...

OBJECTIVE Severe ballistic injuries to the face create complex, composite defects of 2 facial subunits. These injuries have an extremely high economic impact for the Medicare system. The surgical goal with these patients is to restore basic functions of the face with a rapid morphological improvement. Our hypothesis is as follows: Early restoration of facial segments with a single free multiple...

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....