a case of soft tissue defect of dorsal hand due to crush injury in a 37-year-old female is reported here. the reconstructive surgery was performed for the hand soft-tissue defect. among different flaps used in the surgery, the regional flap such as radial forearm flap can be done. but usually it is not accepted by patient because of cosmetic appearance. therefore, random pattern abdominal flap ...

We report a case of a 20-year-old patient who sustained a mutilating crush injury to the left hand. After thorough debridement and stabilization of the skeletal injury, a radial forearm fascial free flap was used to resurface the distal soft tissue volar defect of two adjacent digits. This thin fascial flap allows for stable soft tissue coverage and provides a gliding surface for the exposed te...

The lower abdominal region is the most useful donor site for breast reconstruction. After Holmström and Robbins described the free transverse rectus abdominis myocutaneous flap, Koshima and Soeda transformed the flap into the deep inferior epigastric artery perforator (DIEP) flap.1–3 The DIEP flap has become popular for breast reconstruction throughout the world. However, free flap transfer req...

BACKGROUND Despite the most heroic efforts, sometimes free flaps fail. Perforator free flaps are not invincible and can suffer the same fate. The real challenge is how to decide what is the next best choice for achieving the desired outcome. METHODS Over the past decade, 298 free perforator flaps were used in our institution. Total failure occurred in 16 patients, and partial failure requirin...

Indocyanine green angiography (SPY) was used to guide arterial selection for an anterolateral thigh free flap in the setting of severe peripheral vascular disease. SPY technology serves as a novel and sensitive intraoperative tool to predict decreased tissue perfusion from vessel sacrifice for flap harvest. Change in SPY time parameters measuring superficial blood flow distal to the donor site ...

Background Free-style flaps allow surgeons to overcome anatomical variations and raise perforator flaps wherever a pulsatile signal can be detected. We performed a systematic review and meta-analysis to identify the risk factors for complications and indications for free-style flaps in soft-tissue defect reconstructions. Methods This study was conducted according to the Preferred Reporting It...

Conjunctival melanoma is a rare and potentially deadly tumor. Therefore, adequate oncological resection essential, commonly leading to total orbital exenteration, which causes patients' extensive functional cosmetic impairment. As result, it essential reconstruct the region post-exenteration obliterate cavity, provide pliable cutaneous covering, restore stable vascularized tissue that can withs...

BACKGROUND The standard methods for reconstruction of soft tissue defects in the leg include gastrocnemius flap for proximal third defects, soleus flap for middle third and free flap in the distal third. However, there are problems with the use of free flap, like increased operative time, damage of major vessels and the need for experienced microsurgeon. METHODS This prospective study was und...