Flap thinning: Defatting after conventional elevation

Park, Boyoung

doi:10.5999/aps.2018.00787

Cited by 8 publications

(6 citation statements)

References 16 publications

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“…Rather aggressive defatting throughout the whole flap was conducted except for the region around the point that a perforator enter into the flap was conducted. A reliability and safety of the primary defatting procedure in the free perforator flap operations have been reported in the several previous studies (Mohammed et al, 2021;Park, 2018). By using this technique, a sufficiently thin flap could be obtained to match with thickness and contour of the adjacent forearm tissue generally.…”

Section: Casementioning

confidence: 76%

Coverage of radial forearm free flap donor site defect using another free flap

Lee

2023

Microsurgery

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BackgroundDonor site defects following the radial forearm flap (RFF) harvest have been usually covered with skin grafting, which often lead to suboptimal outcomes and donor morbidities, including delayed healing and scar contractures. The present report aimed to evaluate the outcomes of using another free flap, the domino flap, for coverage of donor site defects following RFFF harvest.MethodsFive patients (two males and three females) who underwent coverage of donor defects of RFFF using another free flap between 2019 and 2021 were reviewed. Their mean age was 74 years and the mean dimension of the defect of the RFF donor site was 8.7 × 5.6 cm. Four patients used an anterolateral thigh flap and one used a superficial circumflex iliac artery perforator flap.ResultsThe mean size of the domino flaps were 12.2 × 5.8 cm. Distal stumps of radial vessels adopting retrograde flow were used as recipients in four cases, and proximal ones adopting anterograde in one. The donor site of the domino flaps was primarily closed. All patients recovered well without any postoperative complications. Aesthetically pleasing outcomes with no functional impairment related to scar contractures were observed in the donor site of RFF during the mean follow‐up of 15.7 months.ConclusionsUse of another free flap for coverage of RFFF donor defects may provide rapid wound healing and satisfactory outcomes, and may be considered an alternative option in cases with large‐sized defects that are expected to take a long time to achieve complete healing with skin grafting.

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Section: Casementioning

confidence: 76%

Coverage of radial forearm free flap donor site defect using another free flap

Lee

2023

Microsurgery

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“…Flap thinning, on the other hand, uses multiple, local, shallow sharp peeling to remove subcutaneous fat. Each opening does not exceed 1/2 of the area of the flap and incisions are minimized to avoid extensive peeling and prevent damage to blood supply to the flap [ 20 , 21 ]. Secondly, after opening the COSTD flap, it is still difficult for the implanted 3D-printed prosthesis to adhere tightly to the bottom of the flap and rebuild basal blood flow.…”

Section: Discussionmentioning

confidence: 99%

Negative pressure wound therapy for flap closed-incisions after 3D-printed prosthesis implantation in patients with chronic osteomyelitis with soft tissue defects

Lin,

Zhang,

Chen

et al. 2023

BMC Musculoskelet Disord

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Background The flap closed-incisions healing after 3D-printed prosthesis implantation in Chronic Osteomyelitis with Soft Tissue Defects (COSTD) is critical. This study aimed to explore the safety and effectiveness of Negative Pressure Wound Therapy (NPWT) in promoting flap closed-incisions healing. Methods Retrospective analysis of clinical data was performed, including baseline, surgical and hospitalization information. The efficacy of NPWT was assessed by comparing the ASEPSIS scores, Visual Analogue Scale (VAS), Activity of Daily Living Scale (ADLS), and Lower Extremity Functional Scale (LEFS), as well as the major postoperative complications. Results The study included 20 patients, 13 received conventional dressing (Control group) and 7 received NPWT treatment (NPWT group). These two groups exhibited a notable disparity in the distribution of ASEPSIS scores, and the median scores were 24 in Control group and 9 in NPWT group (p = 0.001). Eight patients in the Control group experienced major incisional complications, including 7 cases of exudation, 3 cases of infection, 2 cases of non-healing, and 1 case of dehiscence, while none were observed in the NPWT group (p = 0.015). The VAS, ADLS, and LEFS scores were significantly improved in the NPWT group compared to the Control group (p = 0.003, 0.017, and 0.043, respectively). Conclusions The study findings suggest that NPWT applied to the healing process of flap closed-incisions after 3D prosthesis implantation in patients with COSTD can reduce the occurrence of postoperative major complications and promote the recovery of lower limb function and daily activities, which should be recommended for clinical practice.

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“…In our case report, the groin flap has given an excellent tissue cover for the forearm defects with good cosmetic and functional outcomes as there is easy concealment of donor scar. In some cases, the groin flap can be thicker than the forearm skin and if it bothers the patient, liposuction can be done in the future to decrease flap thickness [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Extended Use of McGregor Pedicled Groin Flap for Forearm: A Case Series

Tripathi,

Saha,

Vineet

et al. 2023

Cureus

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Tissue loss in the forearm is a common entity. There are various etiologies to tissue loss like trauma, burn, post-surgery, etc. Coverage of defect or tissue loss of the forearm is a surgical challenge and options available for forearm coverage are limited. To bypass this difficulty, McGregor pedicled groin flap is used by us to cover large forearm defects with successful outcomes in this case series.

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Flap thinning: Defatting after conventional elevation

Cited by 8 publications

References 16 publications

Coverage of radial forearm free flap donor site defect using another free flap

Coverage of radial forearm free flap donor site defect using another free flap

Negative pressure wound therapy for flap closed-incisions after 3D-printed prosthesis implantation in patients with chronic osteomyelitis with soft tissue defects

Extended Use of McGregor Pedicled Groin Flap for Forearm: A Case Series

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