Surgical Flaps: Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.Free Tissue Flaps: A mass of tissue that has been cut away from its surrounding areas to be used in TISSUE TRANSPLANTATION.Flap Endonucleases: Endonucleases that remove 5' DNA sequences from a DNA structure called a DNA flap. The DNA flap structure occurs in double-stranded DNA containing a single-stranded break where the 5' portion of the downstream strand is too long and overlaps the 3' end of the upstream strand. Flap endonucleases cleave the downstream strand of the overlap flap structure precisely after the first base-paired nucleotide, creating a ligatable nick.Reconstructive Surgical Procedures: Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.Rectus Abdominis: A long flat muscle that extends along the whole length of both sides of the abdomen. It flexes the vertebral column, particularly the lumbar portion; it also tenses the anterior abdominal wall and assists in compressing the abdominal contents. It is frequently the site of hematomas. In reconstructive surgery it is often used for the creation of myocutaneous flaps. (From Gray's Anatomy, 30th American ed, p491)Mammaplasty: Surgical reconstruction of the breast including both augmentation and reduction.Dermatologic Surgical Procedures: Operative procedures performed on the SKIN.Keratomileusis, Laser In Situ: A surgical procedure to correct MYOPIA by CORNEAL STROMA subtraction. It involves the use of a microkeratome to make a lamellar dissection of the CORNEA creating a flap with intact CORNEAL EPITHELIUM. After the flap is lifted, the underlying midstroma is reshaped with an EXCIMER LASER and the flap is returned to its original position.Epigastric Arteries: Inferior and external epigastric arteries arise from external iliac; superficial from femoral; superior from internal thoracic. They supply the abdominal muscles, diaphragm, iliac region, and groin. The inferior epigastric artery is used in coronary artery bypass grafting and myocardial revascularization.Soft Tissue Injuries: Injuries of tissue other than bone. The concept is usually general and does not customarily refer to internal organs or viscera. It is meaningful with reference to regions or organs where soft tissue (muscle, fat, skin) should be differentiated from bones or bone tissue, as "soft tissue injuries of the hand".Skin Transplantation: The grafting of skin in humans or animals from one site to another to replace a lost portion of the body surface skin.Fascia Lata: CONNECTIVE TISSUE of the anterior compartment of the THIGH that has its origins on the anterior aspect of the iliac crest and anterior superior iliac spine, and its insertion point on the iliotibial tract. It plays a role in medial rotation of the THIGH, steadying the trunk, and in KNEE extension.Fibula: The bone of the lower leg lateral to and smaller than the tibia. In proportion to its length, it is the most slender of the long bones.Debridement: The removal of foreign material and devitalized or contaminated tissue from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed. (Dorland, 27th ed)Oral Surgical Procedures: Surgical procedures used to treat disease, injuries, and defects of the oral and maxillofacial region.Myocutaneous Flap: A mass of tissue, including skin and muscle, that has been cut away from surrounding areas for transplantation.Microsurgery: The performance of surgical procedures with the aid of a microscope.Surgical Wound Dehiscence: Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.Rhinoplasty: A plastic surgical operation on the nose, either reconstructive, restorative, or cosmetic. (Dorland, 28th ed)Omentum: A double-layered fold of peritoneum that attaches the STOMACH to other organs in the ABDOMINAL CAVITY.Foot Injuries: General or unspecified injuries involving the foot.Fascia: Layers of connective tissue of variable thickness. The superficial fascia is found immediately below the skin; the deep fascia invests MUSCLES, nerves, and other organs.Esthetics: The branch of philosophy dealing with the nature of the beautiful. It includes beauty, esthetic experience, esthetic judgment, esthetic aspects of medicine, etc.Surgery, Plastic: The branch of surgery concerned with restoration, reconstruction, or improvement of defective, damaged, or missing structures.Abdominal Wall: The outer margins of the ABDOMEN, extending from the osteocartilaginous thoracic cage to the PELVIS. Though its major part is muscular, the abdominal wall consists of at least seven layers: the SKIN, subcutaneous fat, deep FASCIA; ABDOMINAL MUSCLES, transversalis fascia, extraperitoneal fat, and the parietal PERITONEUM.Lasers, Excimer: Gas lasers with excited dimers (i.e., excimers) as the active medium. The most commonly used are rare gas monohalides (e.g., argon fluoride, xenon chloride). Their principal emission wavelengths are in the ultraviolet range and depend on the monohalide used (e.g., 193 nm for ArF, 308 nm for Xe Cl). These lasers are operated in pulsed and Q-switched modes and used in photoablative decomposition involving actual removal of tissue. (UMDNS, 2005)Corneal Stroma: The lamellated connective tissue constituting the thickest layer of the cornea between the Bowman and Descemet membranes.Finger Injuries: General or unspecified injuries involving the fingers.Thoracoplasty: Surgical removal of ribs, allowing the chest wall to move inward and collapse a diseased lung. (Dorland, 28th ed)Facial Transplantation: The transference between individuals of the entire face or major facial structures. In addition to the skin and cartilaginous tissue (CARTILAGE), it may include muscle and bone as well.Funeral Rites: Those customs and ceremonies pertaining to the dead.Facial Injuries: General or unspecified injuries to the soft tissue or bony portions of the face.Intraoperative Care: Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.Hair Removal: Methods used to remove unwanted facial and body hair.Spermatic Cord: Either of a pair of tubular structures formed by DUCTUS DEFERENS; ARTERIES; VEINS; LYMPHATIC VESSELS; and nerves. The spermatic cord extends from the deep inguinal ring through the INGUINAL CANAL to the TESTIS in the SCROTUM.Lymphedema: Edema due to obstruction of lymph vessels or disorders of the lymph nodes.Scrotum: A cutaneous pouch of skin containing the testicles and spermatic cords.Spermatic Cord Torsion: The twisting of the SPERMATIC CORD due to an anatomical abnormality that left the TESTIS mobile and dangling in the SCROTUM. The initial effect of testicular torsion is obstruction of venous return. Depending on the duration and degree of cord rotation, testicular symptoms range from EDEMA to interrupted arterial flow and testicular pain. If blood flow to testis is absent for 4 to 6 h, SPERMATOGENESIS may be permanently lost.FinlandLibraries, MedicalHelsinki Declaration: An international agreement of the World Medical Association which offers guidelines for conducting experiments using human subjects. It was adopted in 1962 and revised by the 18th World Medical Assembly at Helsinki, Finland in 1964. Subsequent revisions were made in 1975, 1983, 1989, and 1996. (From Encyclopedia of Bioethics, rev ed, 1995)BooksWound Healing: Restoration of integrity to traumatized tissue.Skull Base: The inferior region of the skull consisting of an internal (cerebral), and an external (basilar) surface.Skull Base Neoplasms: Neoplasms of the base of the skull specifically, differentiated from neoplasms of unspecified sites or bones of the skull (SKULL NEOPLASMS).ArchivesBiological Science Disciplines: All of the divisions of the natural sciences dealing with the various aspects of the phenomena of life and vital processes. The concept includes anatomy and physiology, biochemistry and biophysics, and the biology of animals, plants, and microorganisms. It should be differentiated from BIOLOGY, one of its subdivisions, concerned specifically with the origin and life processes of living organisms.Periodicals as Topic: A publication issued at stated, more or less regular, intervals.OsteomyelitisSuperinfection: A frequent complication of drug therapy for microbial infection. It may result from opportunistic colonization following immunosuppression by the primary pathogen and can be influenced by the time interval between infections, microbial physiology, or host resistance. Experimental challenge and in vitro models are sometimes used in virulence and infectivity studies.Pressure: A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)Groin: The external junctural region between the lower part of the abdomen and the thigh.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.

Return of lymphatic function after flap transfer for acute lymphedema. (1/1254)

OBJECTIVE: The goals of this work were to develop animal models of lymphedema and tissue flap transfer, and to observe physiologic changes in lymphatic function that occur in these models over time, both systemically with lymphoscintigraphy (LS) and locally using fluorescence microlymphangiography (FM). SUMMARY BACKGROUND DATA: Although lymphedema has been managed by a combination of medical and surgical approaches, no effective long-term cure exists. Surgical attempts aimed at reconnecting impaired lymphatic channels or bypassing obstructed areas have failed. METHODS: The tails of rats (A groups) and mice (B groups) were used because of their different features. Lymphedema was created by ligation of the lymphatics at the tail base and quantified by diameter measurements there. In the experimental group, rectus abdominis myocutaneous flap was transferred across the ligation. In addition to the ligation (A1 and B1) and ligation + flap (A2 and B2) groups, three control groups were included: sham flap with ligation (B4), sham flap alone (B5), and normal (A3 and B3) animals. Observations were made at weekly time points for lymphatic function and continuity. RESULTS: Lymphedema was successfully created in the mouse ligation groups (B1 and B4) and sustained for the entire length of observation (up to 14 weeks). Lymphatic continuity was restored in those animals with transferred flaps across the ligation site (A2 and B2), as seen both by LS and FM. Sham flaps did not visibly affect lymphatic function nor did they cause any visible swelling in the tail. CONCLUSIONS: Acute lymphedema developing after ligation of tail lymphatics in mice can be prevented by myocutaneous flap transfer. Restored lymphatic continuity and function were demonstrable using lymphoscintigraphy and fluorescence microlymphangiography.  (+info)

Modified Bankart procedure for recurrent anterior dislocation and subluxation of the shoulder in athletes. (2/1254)

Thirty-four athletes (34 shoulders) with recurrent anterior glenohumeral instability were treated with a modified Bankart procedure, using a T-shaped capsular incision in the anterior capsule. The inferior flap was advanced medially and/or superiorly and rigidly fixed at the point of the Bankart lesion by a small cancellous screw and a spike-washer. The superior flap was advanced inferiority and sutured over the inferior flap. Twenty-five athletes (median age: 22) were evaluated over a mean period of follow-up of 65 months. The clinical results were graded, according to Rowe, as 22 (88%) excellent, 3 (12%) good, and none as fair or poor. The mean postoperative range of movement was 92 degrees of external rotation in 90 degrees of abduction. Elevation and internal rotation was symmetrical with the opposite side. Twenty-four patients returned to active sport, 22 at their previous level. This modified Bankart procedure is an effective treatment for athletes with recurrent anterior glenohumeral instability.  (+info)

Breast reconstruction after mastectomy. (3/1254)

This activity is designed for primary care physicians. GOAL: To appreciate the significant advances and current techniques in breast reconstruction after mastectomy and realize the positive physical and emotional benefits to the patient. OBJECTIVES: 1. Understand basic and anatomic principles of breast reconstruction. 2. Discuss the options for breast reconstruction: a) immediate versus delayed; b) autologous tissue versus implant; and c) stages of reconstruction and ancillary procedures. 3. Provide a comprehensive overview of the risks and benefits of, as well as the alternatives to, each approach so primary care physicians can counsel patients effectively.  (+info)

Soft tissue cover for the exposed knee prosthesis. (4/1254)

This study assess the use of muscle flaps to cover exposed knee prostheses and emphasises the need for early plastic surgery consultation. In five of the six patients studied the wound was successfully covered and the knee prosthesis salvaged with a reasonable functional outcome.  (+info)

Postoperative magnetic resonance imaging after acoustic neuroma surgery: influence of packing materials in the drilled internal auditory canal on assessment of residual tumor. (5/1254)

Serial magnetic resonance (MR) images taken after acoustic neuroma surgery were analyzed to evaluate the pattern and timing of postoperative contrast enhancement in 22 patients who underwent acoustic neuroma removal via the suboccipital transmeatal approach. The opened internal auditory canal (IAC) was covered with a muscle piece in nine patients and with fibrin glue in 13. A total of 56 MR imaging examinations were obtained between days 1 and 930 after surgery. MR imaging showed linear enhancement at the IAC within the first 2 days after surgery, and revealed nodular enhancement on day 3 or later in patients with a muscle piece. MR imaging tended to show linear enhancement at the IAC, irrespective of the timing of the examination in the patients with fibrin glue. Postoperative MR imaging on day 3 or later showed the incidence of nodular enhancement in patients with muscle was significantly higher than in patients with fibrin glue. The results illustrate the difficulty in differentiating nodular enhancement on a muscle piece from tumor by a single postoperative MR imaging study. Therefore, fibrin glue is generally advocated as a packing material of the IAC because it rarely shows masslike enhancement on postoperative MR imaging. When a muscle piece is used in patients at high risk for postoperative cerebrospinal fluid leaks, MR imaging should be obtained within the first 2 days after surgery, since benign enhancement of muscle will not occur and obscure the precise extent of tumor resection.  (+info)

Mechanical properties of heel pads reconstructed with flaps. (6/1254)

We compared the mechanical properties of normal and reconstructed heel pads in seven patients. Four had latissimus dorsi flaps and one each an anterior thigh flap, a local dorsalis pedis flap and a sural arterial flap. The thickness of the heel pad was measured under serial incremental loads of 0.5 kg to a maximum of 3 kg and then relaxed sequentially. The load-displacement curve of the heel pad during a loading-unloading cycle was plotted and from this the unloaded heel-pad thickness (UHPT), compressibility index (CI), elastic modulus (Ep), and energy dissipation ratio (EDR) were calculated. The EDR was significantly increased in the reconstructed heels (53.7 +/- 18% v 23.4 +/- 6.5%, p = 0.003) indicating that in them more energy is dissipated as heat. Insufficient functional capacity in the reconstructed heel pad can lead to the development of shock-induced discomfort and ulceration.  (+info)

Labial fat pad grafts (modified Martius graft) in complex perianal fistulas. (7/1254)

Complex perianal fistulas may at times be very difficult to treat. New vascularised tissue can reach the perineum from leg muscles and the omentum. A less well-known source is the labial fat tissue (modified Martius graft) which has a robust posterolateral pedicle and which can be useful as an adjunctive technique for high anterior anal and rectovaginal fistulas. Between November 1993 and July 1997, eight women (age range 18-55 years) underwent modified Martius grafting, six of the eight having a rectovaginal fistula and two a high complex (suprasphincteric) perianal fistula. Anorectal advancement flaps were performed in five patients and three had a transperineal approach with simultaneous anterior sphincter repair because of concurrent anal incontinence. All patients had a defunctioning stoma. The fistula healed in six of the eight patients (75%) and recurred in two patients. The stoma has been closed in five of the eight patients (one patient's fistula has healed but her stoma cannot be closed because of anal incontinence). This is a useful technique when confronted with a difficult anterior fistula in women.  (+info)

Three ventriculoplasty techniques applied to three left-ventricular pseudoaneurysms in the same patient. (8/1254)

A 59-year-old male patient underwent surgery for triple-vessel coronary artery disease and left-ventricular aneurysm in 1994. Four months after coronary artery bypass grafting and classical left-ventricular aneurysmectomy (with Teflon felt strips), a left-ventricular pseudoaneurysm developed due to infection, and this was treated surgically with an autologous glutaraldehyde-treated pericardium patch over which an omental pedicle graft was placed. Two months later, under emergent conditions, re-repair was performed with a diaphragmatic pericardial pedicle graft due to pseudoaneurysm reformation and rupture. A 3rd repair was required in a 3rd episode 8 months later. Sternocostal resection enabled implantation of the left pectoralis major muscle into the ventricular defect. Six months after the last surgical intervention, the patient died of cerebral malignancy. Pseudoaneurysm reformation, however, had not been observed. To our knowledge, our case is the 1st reported in the literature in which there have been 3 or more different operative techniques applied to 3 or more distinct episodes of pseudoaneurysm formation secondary to post-aneurysmectomy infection. We propose that pectoral muscle flaps be strongly considered as a material for re-repair of left-ventricular aneurysms.  (+info)

  • A case of a 52-year-old patient with a combined injury of the thumb reconstructed 1) primarily with emergency dorsoradial forearm flap together with the implementation of a silicone spacer to a bone defect and 2) secondarily by bone grafting is reported together with a brief literature review. (
  • The operative time and the percentage of defect size in relation to the BSA were significantly lower when using pedicled flaps than when using free flaps (P = 0.002, P = 0.046, respectively). (
  • However, there was no significant difference in terms of the percentage of defect size in relation to the BSA between combination pedicled flaps and free flaps. (
  • Conclusions Our results demonstrated that pedicled flaps should be the first choice for back reconstruction, independent of the defect size, reoperation rate, and reason for reoperation. (
  • Also be sure you know what your breast shape will look like and how the donor flap site might be affected. (
  • For locoregional reconstruction, however, rotational type IV keystone island flaps are raised in the subfascial plane and undermined only as much as necessary. (
  • on their recent publication "The Extended Anterolateral Thigh Flap: Anatomical Basis and Clinical Experience. (
  • Background Back reconstructions using a flap are relatively rare, and clinical reports on such reconstructions are few. (
  • Respected microsurgeons from around the world describe how to use these flaps to reconstruct particular defects around the body. (
  • At our institution, the use of vascularized, free-tissue transfer has replaced pedicled flaps as the preferred modality for reconstructing complex cranial base defects involving resection of dura, brain, or multiple major structures adjacent to skull base, including the orbit, palate, mandible, skin, and other structures. (
  • The exact location of the surgical defects varies depending on the nature and extent of the primary tumor. (
  • 1 Since that time, there has been an increased utilization of the muscle flap for a variety of applications including coverage of foot and ankle defects. (
  • These flaps are pliable, contour to defects, fill dead space, provide improved tissue ingrowth, enhance the local delivery of antibiotics and revascularize underlying bone. (
  • In this study, the use of the SALR composite flap was capable of healing large segmental bony defects at an average of 7 months. (
  • 4 In contrast, free composite serratus anterior-latissimus-rib (SALR) flaps can provide both long segments of vascularized bone and abundant soft tissue coverage for large segmental defects. (
  • We designed a new pedicled fasciocutaneous flap for large sacral defects that combined a classic superior gluteal artery perforator flap and an acentric axis perforator pedicled propeller flap. (
  • However, some of these flaps appear to be too thick, especially for limited defects of the thumb. (
  • The unique anatomy of the thigh allows unparalleled flexibility in flap design, useful for reconstructing defects of the tongue, buccal region, mandible, midface, scalp, and through-and-through defects of the cheek. (
  • 2 , 14 , 15 Koshima et al were the first to describe the use of the ALT flap to reconstruct head and neck defects. (
  • The reverse superficial sural artery flap (RSSAF) is a distally based fasciocutaneous or adipo-fascial flap that is used for coverage of defects that involve the distal third of the leg, ankle, and foot. (
  • Encyclopedia of Flaps is the most comprehensive reference ever published on surgical flaps for reconstructing defects in the torso, pelvis, and lower extremities. (
  • This skin flap provides an excellent treatment method that is reliable in closure of defects of the distal tarsus with few adverse effects. (
  • Here, we present our experience with the ALT flap for defects of the tongue and floor of the mouth, highlighting the reasons for its versatility and benefits, and presenting analyses of the functional results. (
  • The random-pattern skin flap is one of the most widely used flaps in the repair of skin defects. (
  • Surgical resection can result in large defects that extend to the rectum ventrally or to the sacroiliac joints laterally. (
  • Wound Closure in Large Neural Tube Defects: Role of Rhomboid Flaps. (
  • Although all lipomeningomyelocele defects could be primarily closed, all rachischisis needed flap cover. (
  • The versatile, safe, and universal rhomboid flap is an aesthetic solution to the large skin defects in patients of neural tube defects. (
  • During June 2014 and December 2016, we applied expanded forehead flap technique to 70 patients who suffered from scars contracture, nevus, vascular anomalies (hemangioma and capillary malformation), nasal defects and facial cleft. (
  • Previous buccal fat pad uses include closure after tumor excision,4-6 dentoalveolar defects,7 oroantral fistulas,8-10 and palatal defects.11,12 We describe a new use of the buccal fat pad flap: cleft palate repair coupled with pedicled buccal fat pad flaps to cover areas of exposed bone of the hard palate as well as midline areas of high tension. (
  • The skin is locally anesthetized, the incision is made, and the flap is elevated in a plane under the frontalis muscle. (
  • Classically Periosteal Releasing Incision (PRI) is performed to advance the flap. (
  • The aim of this trial is to compare Double Flap Incision (DFI), Modified Periosteal Releasing Incision (MPRI) & Coronally Advanced Lingual Flap (CALF) to PRI in terms of flap advancement, postoperative pain & swelling, membrane exposure and the amount of bone gain clinically and radiographically in GBR procedures. (
  • A full-thickness muco-periosteal flap is reflected on the buccal side (crestal incision and two vertical releasing incisions). (
  • The Cutler-Beard flap was prepared from the inferior eyelid below tars in order to be compatible with superior eyelid defect by doing a horizontal incision. (
  • The flap pedicle was exposed using S-shaped skin incision with preservation of the superficial venous network. (
  • Surgical methods are including simple incision, drainage, unroofing, curettage and spontaneous secondary healing, excision-flap sliding, Karydakis, Bascom methods, modified Limberg flap, Z plasty flap and modified Bascom cleft lift procedures are the most commonly used surgical methods. (
  • The flap thus outlined was elevated and the lateral flap incision extended further dorsally to meet the cranial margin of the skin defect. (
  • while in a limbal-based flap, the incision is further away. (
  • This study specifically examines time to union, need for reoperation, and graft failure following the use of these flaps. (
  • The coronally advanced flap (CAF) together with a connective tissue graft (CTG) is regarded as the gold standard . (
  • You will need to care for the flap or graft site as well as the donor site. (
  • Avoid any movement that might stretch or injure the flap or graft. (
  • You may need to have the dressing to your flap or graft site changed by your doctor a couple times over 2 to 3 weeks. (
  • The assurance of a blood supply allows a longer flap to be harvested, and an axial pattern flap shows a 50% increased graft survival area compared with a routine sub-dermal plexus flap (Moores 2009). (
  • On the basis of product, the global craniomaxillofacial implants market is classified into bone graft substitutes, distraction systems, total TMJ replacement systems, cranial flap fixation systems, thoracic fixation systems, dural repair products and screw, plates, and contourable mesh. (
  • Currently endoscopic DCR can be performed with laser assistance 10, 11 or other methods to remove bone and mucosa including powered drills, 12 punches, 13 and radio surgical electrodes. (
  • This article reviews the advantages of the ALT flap, its anatomy, and various methods of its elevation. (
  • The aim of this trial is to compare seroma formation and its sequelae in the various methods of flap fixation. (
  • Patients and methods: This is comparative prospective study between modified Limberg flap and Z plasty flap in treatment of recurrent pilonidal sinus. (
  • There are many surgical and conservative (medical) methods used for treatment. (
  • This thematic collection covers recent understanding in molecular pathogenesis of burn scar contracture, surgical treatment methods and innovative strategies including growth factor, and stem cell therapies in management of scar contracture. (
  • PATIENTS AND METHODS Fourteen patients had buccal fat pad flaps used for cleft palate and palatal fistula repairs performed by two surgeons at a single institution. (
  • The statement points out that the skull cap "is symbolic of the surgical profession'' and argues there is no evidence linking modest amounts of uncovered hair to wound infections. (
  • Direct closure of the fistula without a protection flap carries a high possibility of pneumothorax, pneumomediastinum, respiratory compromise, and wound breakdown. (
  • Patients will be randomly allocated to one of three treatment arms consisting of flap fixation using ARTISS tissue glue with a low suction drain, flap fixation using sutures and a low suction drain or conventional wound closure (without flap fixation) and low suction drainage. (
  • A skin flap is healthy skin and tissue that is partly detached and moved to cover a nearby wound. (
  • Axial pattern flaps can be used in areas of poor vascularity, as they are not dependent on local blood supply from the wound bed. (
  • Axial pattern flaps are more resilient to movement because they do not rely completely on vascularisation from the wound bed, thus making them an excellent choice when wounds extend over, or are close to, a high-motion joint. (
  • The mean time for complete healing of the wound after Modified Limberg flap group (1) was 16 ± 4.2 days while in Z plasty group (2) it was 22 ± 6.8 days. (
  • It was possible to elevate the 2 skin flaps sufficiently to allow them to meet at the dorsal midline and thus facilitate complete closure of a large and awkwardly positioned wound. (
  • This report describes the simultaneous bilateral elevation of axillary skin fold flaps to close a large, dorsal thoracic skin wound. (
  • It was decided to employ bilateral axillary skin fold flaps to enable wound closure. (
  • physical wound characteristics such as position and dimension would serve as a guide for their surgical closure. (
  • If there is a large wound with exposed bone, muscle or tendon, your surgeon may have to use a reconstructive flap for wound closure. (
  • The flap is placed over the wound and attached with sutures or staples. (
  • No more surgical caps for surgeons? (
  • Surgeons for years have stepped into operating rooms wearing their surgical cap - a snug covering that ties in back and comes in standard-issue blue or hundreds of personalized designs. (
  • For sure, other operating room staff wear surgical caps, but they have long been the hat of choice for many surgeons. (
  • It is therefore recommended that surgeons use this flap method for removal of impacted third molars to enhance post-operative patient comfort. (
  • Surgeons tunnel the flap under the skin from the back to the chest. (
  • Surgeons can use an abdominal flap to reconstruct a breast in women who have extra abdominal tissue. (
  • From this remarkably complete collection of clinical information, surgeons can select with confidence the best flap for safe, predictable, and aesthetically acceptable results. (
  • Technically, minimal time, skill, and dissection are needed to harvest this robust flap, and we think cleft surgeons will find this useful for challenging cleft palate and palatal fistula repairs. (
  • Free flaps provide reliable, well-vascularized soft tissue to seal the dura, obliterate dead space, cover exposed cranial bone, and provide cutaneous coverage for skin or mucosa. (
  • Free SALR flaps can be a useful option for the treatment of high-energy tibia fractures with extensive soft tissue and bone loss. (
  • 1-5 The purpose of this study is to examine the use of free composite SALR flaps for soft tissue coverage in cases of Gustilo IIIB injuries with large soft tissue and bony deficits. (
  • Bone/soft tissue flap -This type of flap is often used when bone and the overlying skin are moved to a new location. (
  • Wei et a l. [ 3 ] reported that the failure rate of the ALT free flap was less than 2%, and they concluded that the ALT flap could replace most other flaps for soft tissue, because of the availability of a long pedicle with a suitable vessel diameter, versatility in design, and low donor site morbidity. (
  • The use of angio-MR for preoperative perforator flaps evaluation yielded promising results and would allow not only to locate perforator vessels but also to globally assess presurgical planning of perforator flaps in a noninvasive, radiation and toxicity-free way. (
  • In addition, criteria for selecting patients for surgical repair are provided. (
  • RESULTS: Total flap failure occurred in two patients (10.5%) due to venous congestion after fifth postoperative day. (
  • AIMS AND OBJECTIVES: The study was done to prove a hypothesis that an alternative surgical flap (ASF) is effective in limiting pain and swelling when compared to the standard reverse L-flap (RL F). METHOD: A prospective randomized cross-over study was done, which included 33 healthy patients. (
  • We reviewed the medical records of patients undergoing an SALR flap (n = 5) for the treatment of Gustilo Type IIIB tibia fractures within 1 month of injury. (
  • Adult patients with pressure ulcer-related pelvic osteomyelitis treated by a two-stage surgical strategy were included in a retrospective cohort study. (
  • The Cutler-Beard flap was applied to patients with more than 50% of superior eyelid loss after surgical excision of the tumour. (
  • 1 , 2 , 3 , 4 Patients who were previously thought inoperable, such as those with locally advanced or recurrent disease, can now be considered candidates for surgical treatment. (
  • We believe that the use of free flaps to provide large amounts of tissue or cover particularly problematic areas can be an extremely useful tool for these patients. (
  • Eighteen patients with burns contracture to the knee 7 (34%), elbow 5 (28%), perineum 4 (22%), and axilla 2 (11%), were treated at our unit between February 1998 to October 2001 using the seven flap-plasty. (
  • To analyze the clinical features and factors that increase the risk of flap buttonholes, the authors retrospectively reviewed records of all patients who developed a flap buttonhole during LASIK performed at their institute. (
  • Total flap loss occurred in two patients, both of whom had rheumatoid arthritis complicated by vasculitis. (
  • All patients had long-standing, chronic axillary lesions that were refractory to non-surgical treatment. (
  • In all patients undergoing SGAP flaps, an accurate identification of the main perforator vessels was achieved. (
  • Type I flap was practiced on 29 patients (12 male, 17 female), type II flap for 23 patients (14 male, 9 female), type III flap for 10 male patients and type IV flap for 8 patients (6 male and 2 female). (
  • All patients who were treated with flap-lift LASIK 10 or more years after primary LASIK for whom records of the primary treatment could be obtained and at least 45-day follow-up refractions after re-treatment were available were included in this study. (
  • The VSLN flap was transferred to the ankles of seven lower extremities in six patients with chronic lower extremity lymphedema. (
  • The aim of the study was to evaluate the results of IBD patients, treated step by step by multiple drainages followed by advancement flap. (
  • Visualize what to look for and how to proceed with high-quality illustrations of regional anatomy, flap anatomy, and step-by-step flap dissections, as well as clear photographs demonstrating successful reconstructions. (
  • The flap is useful due to the muscle's size and thinness, consistent vascular anatomy, large vessel size, ease of dissection, minor donor site morbidity, arc of rotation and length of the pedicle. (
  • In consecutive views, the video demonstrates the principal anatomy as well as the preparation of both flaps. (
  • Complementing the text are hundreds of clinical photographs and diagrams of anatomy, blood supply, flap design, and operative procedures. (
  • This comprehensive atlas includes over 200 illustrations that demonstrate fine specimens, explicit structures and natural color of skin flaps based on surgical anatomy. (
  • This study investigated the anatomy, mechanism and outcome of a novel vascularized submental lymph node (VSLN) flap transfer for the treatment of lower limb lymphedema. (
  • However, even with its many advantages, it is encumbered by donor site morbidity, longer operative times, bulky contours, recipient vessel trauma, and the requirement for advanced surgical expertise and expensive equipment. (
  • Giladi AM, Rinkinen JR, Higgins JP, Iorio ML. Donor-Site Morbidity of Vascularized Bone Flaps from the Distal Femur: A Systematic Review. (
  • Furthermore, achieving a balance between scar resurfacing and minimizing donor site morbidity is a challenging problem that depends on the size of the area involved, the region of involvement, and the availability of the non scarred tissue for use as skin flaps. (
  • Autologous gluteal augmentation after massive weight loss: aesthetic analysis and role of the superior gluteal artery perforator flap. (
  • The purpose of the present paper is to report a series of highly myopic eyes with RD due to tears located over areas of choroidal atrophy within the staphyloma or around the optic nerve (parapapillary), treated by means of PPV and autologous ILM flap transplantation over the causative retinal tear. (
  • Drawing a second line from the distal end of the first line forms the apex of the rotation flap. (
  • Gauze or other flexible material is used to measure the necessary length of the flap, and a mark is made at the most distal portion. (
  • The gauze is rotated and placed over the course of the supratrochlear artery, and the distal end of the planned flap is marked on the forehead skin. (
  • Surgical repair is complicated by a wide distal urethra which may be injured if not properly identified. (
  • There are few local options available for the distal forefoot and toes such as the fillet of toe, the dorsometatarsal first web flap, and the distally-based dorsalis pedis flap. (
  • The flap was then raised from proximal to distal preserving extensor retinaculum. (
  • Integration of IMA as a viable flap in the repair of aortic coarctation implies that this artery increases its collateral flow contribution to the distal aorta. (
  • One sample was obtained from the middle of the flap (5 cm from the base), another from the distal end, and one more, distant from the flap, from a normal skin area. (
  • After mobilizing the flaps, we demonstrate the way to cross the distal portions of the flaps underneath the vastus lateralis fasciae and fix them to the proximal femur using standard anchors. (
  • Note the skin flap supplied by either septocutaneous vessels or myocutaneous perforators from the descending branch of the circumflex femoral vessel. (
  • These flaps are vascularized by septo-cutaneous perforators of the peroneal artery that anastomose with the peri-neural and peri-venous arterial networks of the sural nerve and the lesser saphenous vein, respectively . (
  • First, a line was drawn from the anterior superior iliac spine to the superolateral border of the patella, then the midpoint of this line was determined, because the dominant perforators supplying the flap are located within a circle of 3 cm radius from this point. (
  • Grolleau JL, Collin JF, Chavoin JP, Costagliola M. [Iliac transosseous transposition of rectus abdominis muscle flap to cover a sacral pressure sore] [in French]. (