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Medially Based "Abdominal Rotation Advancement Flap": A Promising Technique for Mastectomy Defect Reconstruction in "High-Risk Patients" Awaiting Adjuvant Radiotherapy.
Indian J Plast Surg
December 2024
Department of Plastic Surgery, Osmania Medical College, Telangana, India.
Extensive postmastectomy defects and soft-tissue defects often require some additional flap cover of reconstruction after excision. The reconstruction aim in this group should be a diligent and easy closure with a quality skin cover, early recovery, and brief stay in hospital so that the patients can receive early postoperative radiotherapy/chemotherapy. Medially based abdominal transposition flap is a type C fasciocutaneous flap based on medial perforating vessels.
View Article and Find Full Text PDFAn "Expanded Zone" Concept for Soft Tissue Coverage of the Upper Extremity: Upper Extremity "Expanded Zones".
Ann Plast Surg
December 2024
From the Division of Plastic Surgery, Sacred Heart Campus, St. Luke's Hospital, Allentown, PA.
Vascularized soft tissue coverage of open wounds of the lower extremity has long been predicated on the zone of injury and the available local flap donor site options found therein. A hypothesis was presented decades ago in this journal that attempted to extend a similar approach to simplify upper extremity coverage as well, but appears to have long been forgotten. However, with the emergence of the fasciocutaneous flap and its offspring the perforator flap, now a plethora of additional local flap options within the upper extremity may justify this idea being further considered.
View Article and Find Full Text PDFCase Report: Salvation of a congested SCIP flap with a modified "chemical leech" technique.
Front Surg
November 2024
Department of Orthopedic Trauma and Microsurgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Article Synopsis
- The superficial circumflex iliac artery perforator (SCIP) flap is commonly used in covering wounds, but occasionally faces failure due to venous congestion.
- A new approach called the modified "chemical leech" technique incorporates a venous catheter to better manage blood drainage from congested areas, which has shown improved outcomes.
- This method facilitates more effective draining of congested blood at both venule and capillary levels, ultimately enhancing the healing of the flap as microcirculation is restored.
Internal mammary artery perforator-based plug flap.
Int J Surg Case Rep
December 2024
Hospital Nossa Senhora das Graças, Curitiba, Brazil.
Introduction: Various oncoplastic techniques have emerged over the years to preserve breast cosmesis and symmetry without compromising the principles of tumor excision. One of the newer techniques for breast volume replacement to achieve symmetry and cosmesis is the use of fascio-cutaneous pedicled chest wall perforator flaps or local perforator flaps (CWPF).
Case Presentation: We present a case of reconstruction with internal mammary artery perforator (IMAP)-based plug flap to fill the infero-medial defect caused by a tumor close to skin, with visible retraction.
Closed-incision negative pressure wound therapy (NPWT) in elderly patients following sacral pressure sore reconstruction.
BMC Geriatr
November 2024
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, SMG-SNU Boramae Medical Center, 20 Boramae-ro 5-gil, Dongjak-gu, Seoul, 07061, Republic of Korea.
Background: Pressure sores significantly affect elderly patients, with the sacrum being especially vulnerable, often due to its proximity to the anus and potential for fecal contamination. Despite preventive measures such as frequent repositioning and specialized cushions, some sores still necessitate surgical intervention. Postoperative care focuses on monitoring, hygiene, and pressure alleviation.
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