BACKGROUND Surgical flap delay is commonly used in preconditioning reconstructive flaps to prevent necrosis. However, staged procedures are not ideal. Pharmacologic up-regulation of angiogenic and arteriogenic factors before flap elevation poses a nonsurgical approach to improve flap survival. METHODS Male Sprague Dawley rats were divided into control (n = 16), surgical delay (Delay), AdNull,...

Basal cell carcinoma (BCC) is the most common malignancy worldwide. Surgical removal considered gold standard treatment. However, large defects following excisional surgery can pose a significant challenge for reconstruction, especially in cases where primary closure not possible. In which, use of skin flaps may be utilized. Most traditional are limited by design to take advantage only one regi...

Preauricular sinuses and pits are congenital anomalies located in or just front of the ascending limb helix. Even though excising a sinus is relatively minor surgical procedure, recurrence not uncommon if an adequate resection done. Surgery only indicated when it complicated by recurrent infection abscesses. Simple closure may be possible there large tissue defect. In those circumstances local ...

Objective(s): Covering tissue defects using skin flaps is a basic surgical strategy for plastic and reconstructive surgery. The aim of this study was to evaluate the effects of chicken embryo extract (CEE) and bone marrow derived mesenchymal stem cells (BM-MSCs) on random skin flap survival (RSF) in rats. Using chicken embryo extract can be an ideal environment for the growth and proliferation ...

Methods: Patients from age 9 months to 17 years with postburn elbow contracture where no metabolic derangement were included in the study. After proper assessment and X-ray for the functional impairment the surgical decision was made, depending of the classification of the contracture in Elbow. Skin grafts, local flaps such as advancement flaps, Z-plasties, were used. The patient was called for...

Complicated soft tissue defects of the diabetic foot often call for alternative methods to traditional primary closure. Despite the popularity of microvascular free flaps, local muscle flaps can offer reliable reconstruction for these challenging wounds with shorter surgical times and reduced complication rates. In this article, the authors describe the successful use of the abductor hallucis m...

The ring fixator is an ideal apparatus to treat infected gap nonunion of the tibia and to correct deformity in multiple planes. However soft tissue problems may arise during transport and at docking. Although various options such as free flaps, neurocutaneous flaps, fasciocutaneous flaps and cross leg flaps are available for flap cover, this is always done prior to application of a ring fixator...

OBJECTIVES The restoration of an intact covering is the primary surgical requisite following trauma of the lower extremity because deep healing can be no better than the surface covering. The present article is about our experience of lower limb reconstruction using fasciocutaneous flaps. METHODS 20 fasciocutaneous flaps in 15 males and 5 females were used for the wound / defect of lower limb...

The bipalpebral flap (BPF) consists of two cutaneous flaps-a sliding flap from the lower lid and a rotating flap from the upper lid. These skin flaps are dissected from the orbicularis muscle with careful coagulation of all tiny bleeding vessels. Skin flaps were preferred to myocutaneous flaps because they allow a simpler surgical procedure. The principal advantage of this technique is that it ...

BACKGROUND Optimal surgical outcomes in autogenous breast reconstruction require a balance between the reliability of older transverse rectus abdominis musculocutaneous (TRAM) flap techniques and the decreased donor-site morbidity of the newer deep inferior epigastric perforator (DIEP) flap techniques. This article presents an approach to autogenous breast reconstruction that uses principles of...