Hammock flap.

Plast Reconstr Surg

Published: March 2003

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http://dx.doi.org/10.1097/00006534-200303000-00079DOI Listing

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Article Synopsis
  • The study focuses on improving visual results in DIEP flap breast reconstruction, introducing two new techniques: the hug flap and Hamdi hammock.
  • The hug flap uses modified mastectomy skin to boost breast shape, while the Hamdi hammock defines the breast fold with a special suture.
  • Results show that the hug flap reduces the need for further fat grafting and complications, indicating both methods enhance aesthetic outcomes safely.
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The Kouvalchouk procedure vs. distal tibial allograft for treatment of posterior shoulder instability: the deltoid "hammock" effect exists.

J Shoulder Elbow Surg

October 2024

Roth | McFarlane Hand and Upper Limb Centre, St Joseph's Health Care, London, Canada; Department of Surgery, Western University, London, Canada.

Background: In 1993, Kouvalchouk described an acromial bone block with a pedicled deltoid flap for the treatment of posterior shoulder instability. This procedure provides a "double blocking" effect in that the acromial autograft restores posterior glenoid bone loss and the deltoid flap functions as a muscular "hammock" resembling the sling effect of the conjoint in the Latarjet procedure. The primary aim of this study was to compare the Kouvalchouk procedure to distal tibial allograft (DTA) reconstruction for the management of posterior shoulder instability with associated bone loss, while the secondary aim was to evaluate the deltoid hammock effect.

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Purpose: In case of soft tissue sarcomas (STS), an en-bloc resection with safe margins is recommended. To ensure safe removal without tumor rupture, STS of the groin area, retroperitoneal or pelvic mesenchymal tumors may require incision or resection of the inguinal ligament. Solid reconstruction is mandatory to prevent early and late postoperative femoral hernias.

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