[A pedicled deep inferior epigastric flap to cover a hip arthroplasty infection].

Ann Chir Plast Esthet

Service de chirurgie plastique esthétique et reconstructrice, hôpital de Hautepierre, CHRU Strasbourg, 67000 Strasbourg, France.

Published: March 2022

The deep inferior epigastric perforator (DIEP) flap is a reliable flap mostly used in skin resurfacing after signifiant resection for sarcoma or correction contour deformities. This case is about a pedicled DIEP flap covering the trochanteric region after a total hip arthroplasty infection. A 62years old woman with a BMI at 42kg/m presents an infected total hip arthroplasty with a cutaneous defect. The hip prosthesis is changed and covered with a pedicled DIEP flap. This original case reports the used of pedicled DIEP flap in hip coverage. This local fasciocutaneous flap covered the hip osteoarticular infection. The limb is salved and the patient can walked again. The success of this surgery is the collaboration between infectious disease specialist, orthopedic surgeon and plastic surgeon.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anplas.2021.11.004DOI Listing

Publication Analysis

Top Keywords

diep flap
16
hip arthroplasty
12
pedicled diep
12
deep inferior
8
inferior epigastric
8
total hip
8
flap
7
hip
6
pedicled
4
pedicled deep
4

Similar Publications

Background: Autologous breast reconstruction patients require thorough assessment, with the profunda femoris artery perforator (PAP) flap having become an important autologous reconstruction option alongside the deep inferior epigastric perforator (DIEP) flap. Breast reconstruction impacts patients psychologically, physically and mentally. The BREAST-Q aids in the assessment of patient-reported outcome measures (PROMs).

View Article and Find Full Text PDF

Purpose: Assessment of tissue perfusion using near-infrared fluorescence (NIR) with indocyanine green (ICG) is gaining popularity, however reliable and objective interpretation remains a challenge. Therefore, this study aimed to establish reference curves for vital tissue perfusion across target tissues using this imaging modality.

Methods: Data from five prospective study cohorts conducted in three Dutch academic medical centres between December 2018 and June 2023 was included.

View Article and Find Full Text PDF
Article Synopsis
  • The study evaluated global practices in preparing and caring for patients undergoing autologous free flap breast reconstructions (ABR) to improve decision-making for surgeons.
  • A survey of 280 plastic surgeons yielded 82 responses, revealing that the deep inferior epigastric perforator flap is most commonly used, with preoperative imaging primarily done through computed tomography angiography.
  • Postoperative care involves regular flap monitoring by nursing staff, typically after an average hospital stay of 5 days, with handheld Dopplers being the key monitoring tool.
View Article and Find Full Text PDF

Open abdomen treatment (OAT) is associated with significant morbidity and mortality. In cases where primary or delayed fascial closure cannot be achieved, vacuum-assisted wound closure and mesh-mediated fascial traction are indicated, which often result in a planned ventral hernia. If secondary skin closure is not feasible, common treatment of granulated abdominal defects involves split-thickness skin-grafting or healing by secondary intention leading to significant scarring and sometimes mutilating defects.

View Article and Find Full Text PDF

Background: The deep inferior epigastric perforator (DIEP) flap is currently the gold standard for autologous breast reconstruction. In cases where the DIEP is contraindicated, the profunda artery perforator (PAP) flap is now the preferred second-line option in our institution. The PAP flap poses unique challenges to the reconstructive surgeon, especially in Asian women with low body mass index (BMI).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!