Document Detail

Latissimus dorsi free flaps for complex ischiosacral defects.
MedLine Citation:
PMID:  17434375     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Free tissue transfer for coverage of complex wounds in the ischial and sacral area can be limited by the lack of adequate recipient vessels. METHODS: We reviewed the records of 3 patients seen between August 2002 and December 2005 who underwent free tissue transfer to ischiosacral defects. RESULTS: Two patients were quadriplegic, and 1 patient was ambulatory. The gluteal vessels were used as recipients in 2 patients, and 1 patient had an arteriovenous loop to the femoral vessels. All flaps were successful and all wounds healed. CONCLUSIONS: A free latissimus flap to the ischiosacral area can be effective, and both local (gluteal) and regional (femoral) vessels can serve as recipient vessels.
Beejay Feliciano; Keith T Paige; Kevin M Beshlian
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  193     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-16     Completed Date:  2007-05-03     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  648-50     Citation Subset:  AIM; IM    
Section of Plastic and Reconstructive Surgery, Virginia Mason Medical Center, Mailstop: X11-PRS, 1100 Ninth Ave., P.O. Box 900, Seattle, WA 98111, USA.
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MeSH Terms
Middle Aged
Pressure Ulcer / surgery*
Radiation Injuries / surgery*
Sacrococcygeal Region / injuries*,  surgery*
Surgical Flaps*

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