Perforator based flaps in leg reconstruction
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 7, Issue 2
Abstract
Background: Perforator flaps have recently become ubiquitous in the field of plastic surgery. To understand and appreciate their unique nature, it is necessary to compare and contrast them with the development of other types of flaps. Aim: To study the various possible perforator based flaps in reconstruction of defects at various levels of leg Methods: This prospective study was done in 20 patients with post traumatic open fractures with exposed bones and implants or external fixator in the leg. A hand-held ultrasound Doppler was used preoperatively and intraoperatively to detect the perforator vessels. Results: Right leg was involved in 12 cases and left leg in 8 cases. The commonest cause of the defect in our study was trauma particularly road traffic accidents. The smallest defect was 3cm x 1.5 cm, and the largest defect was 19 x 12 cm which needed flap cover. Major complications like flap loss occurred in 10% of our cases which were treated with the second flap. Conclusion: For small and moderate-sized defects particularly in the lower third leg, perforator based fasciocutaneous flaps are the good option in reconstruction which may even replace free flaps.
Authors and Affiliations
K Kannan, V Surya Pratibha, Heber Heber Anandan
Keywords
Related Articles
- EP ID EP410360
- DOI -
- Views 190
- Downloads 0
A study of role of limberg flap for Sacro-Coccygeal pilonidal sinus
Background: Sacro-Coccygeal pilonidal sinus is a common disease of the adult age group, especially male population, causing significant morbidity from both disease and surgery done for the same. It is essentially a cleav...
Comparison of clinical examination, USG, USG guided FNAC study of cervical lymphnodes in oral malignancy
Background: Various tools for the staging of lymph nodes used are clinical examination, ultrasonography, USG-guided fine needle aspiration cytology. In rural setup, USG and USG FNAC are commonly used along with clinical...
A comparative study of polypropylene versus polyester mesh in groin hernia repair
Background: Inguinal hernia repair is the most common general surgery procedure, and several hundred thousand are performed every year in the United States. Countless studies have been done in attempts to improve outcome...
Evaluation of day care surgery in surgical department of a tertiary care hospital
Aim of study is to find out advantage / drawback of day care surgery in public health care setup. Its correlation with patients’ demographic and clinical profile. Study was done at GMERS general hospital and Medical Coll...
A clinical study of acute scrotum
Background and Objectives: Acute scrotal swellings are one of the common swellings affecting both children and adults. Aim of this study was to describe the clinical presentation, pathophysiology, differential diagnosis...