Endoscopically-assisted adipofascial flap harvest for soft tissue defects of the lower leg

Lin, Sin-Daw; Wang, Hong-Jen; Chou, Chih-Kang; Kung, Fei-Peng; Lai, Chung-Sheng

doi:10.1054/bjps.1997.0054

Cited by 12 publications

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Endoscopic-assisted surgery was initially applied in plastic surgery for facial surgery with brow lift surgery, 24 corrugator muscle resection, 25 and augmentation mammoplasty. 26 With the use of endoscopic assistance, donor site harvesting has also been reported in muscle flaps, 9 – 11 adipofascial flaps, 27 , 28 and visceral flaps. 29 Under endoscopy, the perforators can be identified directly by the operating surgeon.…”

Section: Discussionmentioning

confidence: 99%

A Novel Endoscopic-Assisted Harvesting of Pedicled Freestyle Fasciocutaneous Flaps

Huang

Lin

et al. 2015

Medicine

View full text Add to dashboard Cite

The endoscopy-assisted technique has been demonstrated in harvesting muscle flaps; however, for pedicled freestyle fasciocutaneous flaps, few studies have applied this technique. We present a surgical procedure utilizing endoscopic-assisted method to identify the perforators of pedicled freestyle fasciocutaneous flaps for the reconstruction of soft tissue defects.From August to December 2012, 9 consecutive patients underwent endoscopic-assisted harvesting of fasciocutaneous flaps for the reconstruction of soft tissue defects. All of the defects were caused by trauma with tendon or bone exposure. Postoperatively, all patients were requested to return for outpatient follow-up visits for at least 3 months.The age of the 9 patients (8 men and 1 woman) ranged from 20 to 79 years (median 59 years). The defects ranged in size from 2 × 2 to 6 × 8 cm2. Two patients received anterolateral thigh transmuscular perforator flaps, 5 patients received fibular septocutaneous perforator flaps, and 2 patients received medial gastrocnemius transmuscular perforator flaps. The median incision length was 10 cm, and the median operative time was 120 minutes. None of the patients had intraoperative complications, and intraoperative bleeding was minimal (<50 mL). At the end of the 3-month follow-up period, none of the patients had any complications on either recipient or donor site, including total or partial necrosis of the flaps, flap dehiscence, hematomas, seromas, wound infections, or any conditions that indicated additional unplanned operative procedures. All of the patients had surviving flaps.Our results demonstrated that the endoscopic-assisted method could be a valuable and reliable alternative in harvesting pedicled freestyle fasciocutaneous flaps.

show abstract

Section: Discussionmentioning

confidence: 99%

A Novel Endoscopic-Assisted Harvesting of Pedicled Freestyle Fasciocutaneous Flaps

Huang

Lin

et al. 2015

Medicine

View full text Add to dashboard Cite

show abstract

Der Saphenusperforatorlappen

Winkel

Tajsic²,

Husum³

et al. 2013

Oper Orthop Traumatol

View full text Add to dashboard Cite

Retrospective uncontrolled study with over 70 saphenous perforator flaps from 1995-2011. Full soft tissue defects 62 times with osteomyelitis, 3 times with endoprothesis, 3 times with fractures, 2 times with exposed tendons. From 1995-2006, 44/50 (88 %) flaps healed completely or at least to 3/4 without the necessity of further flaps; from 2007-2011, 13/20 (65 %) flaps healed completely and 6/20 (30 %) flaps healed at least to 3/4 without the necessity of further flaps, loss of one flap (5 %).

show abstract

Reconstructive implications of adipofascial flaps in limb defects

Goyal

Bashir

2007

Eur J Plast Surg

View full text Add to dashboard Cite

Endoscopically-assisted adipofascial flap harvest for soft tissue defects of the lower leg

Cited by 12 publications

References 13 publications

A Novel Endoscopic-Assisted Harvesting of Pedicled Freestyle Fasciocutaneous Flaps

A Novel Endoscopic-Assisted Harvesting of Pedicled Freestyle Fasciocutaneous Flaps

Der Saphenusperforatorlappen

Reconstructive implications of adipofascial flaps in limb defects

Contact Info

Product

Resources

About