Combined use of a petal flap and V-Y advancement flap for reconstruction of presacral defects following rectal resection.

Background: The aim of this study was to evaluate the efficacy of a combination of flaps for the reconstruction of presacral defects following abdominoperineal resections: a paramedian vertically oriented caudally based lotus petal flap for presacral defects combined with a horizontal V-Y advancement flap for closure of the superficial donor site defect.

Methods: A retrospective study was conducted on patients with a residual defect following an abdominoperineal resection between 2010 and 2017 in the Noordwest Ziekenhuisgroep. The primary endpoint was complications related to the reconstruction.

Effect of embryonic photostimulation on the posthatch growth of turkey poults.

Artificial illumination, including light quality, is important in modern meat-type poultry management. In the present study, the effect of in ovo monochromatic green light photostimulation on posthatch growth of turkey poults was investigated. In experiment 1, 182 turkey eggs were divided into two light treatment groups (n = 91).

The distally based sural artery flap.

The sural artery flap is a distally based fasciocutaneous flap. It is based on a reverse flow through anastomoses between the peroneal artery and the communicating vascular network of the medial sural nerve. In the difficult area of defects in the lower leg and the ankle and heel region, it has a wide variety of indications, even in vascularly compromised patients.