Document Detail


Economy of donor site incisions: multiple free flaps of the subscapular family for extensive extremity wounds and bilateral foot defects.
MedLine Citation:
PMID:  9678465     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One of the most important goals of modern microsurgical reconstruction is to decrease donor site morbidity as much as possible. With free flaps for lower limb reconstruction, economy of donor sites was designed and performed in 39 patients. Among these 39 patients, 17 had multiple flaps raised from a single incision for reconstruction of multiple defects in one or both lower extremities. Microvascular reconstruction of multiple defects is a challenging problem, particularly if it is to be performed simultaneously. The patients were followed for more than 3 years. Immediate complications and long-term disabilities were analyzed. From the data we conclude that this method has the following advantages: (1) economy of donor site incisions, (2) less harvest time, and (3) availability of any composite tissue for transfer. Donor site morbidity can be reduced by good planning, careful dissection, meticulous hemostasis, and adequate postoperative management.
Authors:
H C Chen; T A El-Gammal; H H Chen; F C Wei; C H Lin; Y B Tang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  41     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-09-25     Completed Date:  1998-09-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  28-35     Citation Subset:  IM    
Affiliation:
Department of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Child
Female
Foot Deformities, Acquired / surgery*
Foot Injuries / surgery*
Foot Ulcer / surgery*
Humans
Leg Injuries / surgery*
Male
Reconstructive Surgical Procedures / methods
Surgical Flaps*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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