Im ag es IMAGES area [2]. Various regional musculocutaneous flaps have played an important role in reconstruction of the posterior trunk [1,2]. However, they have shortcomings of sacrificing underlying muscle and donor site morbidity. Perforator flaps have recently been regarded as a good method for reconstruction of such defects [3,4]. Flap extendibility and less invasiveness without sacrifice...

BACKGROUND The purpose of this article is to describe and highlight our experience of end-to-side anastomosis technique in such cases for limbs salvage in the single artery of a traumatized extremity with free-flap transfer. METHODS Thirty-two traumatized patients in need of free-flap transfer for their extremity reconstruction were referred to our hospital from March 2006 to November 2008. A...

Background: Sacrococcygeal pilonidal sinus is a common condition usually affecting young-to-middle-aged men. For managing sacrococcygeal illness, variety of lateralizing surgical flap procedures based on this principle have been published, including the Karydakis flap, Limberg modified Z-plasty, and Y-V advancement flap. Aim: To compare outcome simple excision with primary closure versus rhombo...

BACKGROUND Minimizing donor-site morbidity after free flap harvest is of paramount importance. In this article, we share our experience with achieving primary closure of 58 anterolateral thigh (ALT) free flap donor sites using a simple algorithm in cases where primary closure would otherwise have not been possible. METHODS Between 2004 and 2010, 58 patients who underwent free ALT flap reconst...

Background: Fingertip injury at different levels is a common and management varies with variable outcomes. Local flap reconstruction techniques are the most commonly used method of treatment satisfactory results in most. The current study aimed to analyze clinical characteristics local fingertip injuries. Methods: This was retrospective observational 31 injuries 24 patients treated one three te...

Introduction: The inferiorly and laterally based platysma myocutaneous flap contains hair in some ethnics; therefore, it is required to change the myocutaneous flap to myofascial flap to prevent the hair growth after its transfer to the oral cavity.   Materials and Methods: Five male mongrel dogs were selected for this study. De-epithelialized laterally based platysma fl...

determinants of early onset haze were retrospectively explored in patients who had been undergone laser-assisted sub-epithelial keratectomy (lasek) in a private eye clinic. the technique included creating an epithelial flap following 20 seconds exposure to 20% alcohol. ‘optimized’ ablation profile was used by allegretto laser (wavelight technologie). following repositioning of the flap, a singl...

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. Mathods: This prospective study was und...

the distal third of the tibia, ankle and heel area is difficult to reconstruct. for small to medium size defects, local flaps are often an easier alternative than free flap. in lower limb surgery, the sural flap is based on this principle and this flap is becoming increasingly popular. the distally based superficial sural artery flap, first described as a distally based neuro skin flap by masqu...