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RISS 인기검색어
- 검색키워드
- 저자 : Edwin Jonathan Aslim (검색결과 2 건)
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Aslim, Edwin Jonathan,Rasheed, Mohamed Zulfikar,Lin, Fangbo,Ong, Yee-Siang,Tan, Bien-Keem Korean Society of Plastic and Reconstructive Surge 2014 Archives of Plastic Surgery Vol.41 No.5
Background Groin dissections result in large wounds with exposed femoral vessels requiring soft tissue coverage, and the reconstructive options are diverse. In this study we reviewed our experience with the use of the pedicled anterolateral thigh and vertical rectus abdominis musculocutaneous flaps in the reconstruction of large groin wounds. Methods Groin reconstructions performed over a period of 10 years were evaluated, with a mean follow up of two years. We included all cases with large or complex (involving perineum) defects, which were reconstructed with the pedicled anterolateral thigh musculocutaneous or the vertical rectus abdominis musculocutaneous (VRAM) flaps. Smaller wounds which were covered with skin grafts, locally based flaps and pedicled muscle flaps were excluded. Results Twenty-three reconstructions were performed for large or complex groin defects, utilising the anterolateral thigh (n=10) and the vertical rectus abdominis (n=13) pedicled musculocutaneous flaps. Femoral vein reconstruction with a prosthetic graft was required in one patient, and a combination flap (VRAM and gracilis muscle flap) was performed in another. Satisfactory coverage was achieved in all cases without major complications. No free flaps were used in our series. Conclusions The anterolateral thigh and vertical rectus abdominis pedicled musculocutaneous flaps yielded consistent results with little morbidity in the reconstruction of large and complex groin defects. A combination of flaps can be used in cases requiring extensive cover.
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Edwin Jonathan Aslim,Mohamed Zulfikar Rasheed,Fangbo Lin,Yee-Siang Ong,Bien-Keem Tan 대한성형외과학회 2014 Archives of Plastic Surgery Vol.41 No.5
Background: Groin dissections result in large wounds with exposed femoral vessels requiringsoft tissue coverage, and the reconstructive options are diverse. In this study we reviewed ourexperience with the use of the pedicled anterolateral thigh and vertical rectus abdominismusculocutaneous flaps in the reconstruction of large groin wounds. Methods: Groin reconstructions performed over a period of 10 years were evaluated, with amean follow up of two years. We included all cases with large or complex (involving perineum)defects, which were reconstructed with the pedicled anterolateral thigh musculocutaneous orthe vertical rectus abdominis musculocutaneous (VRAM) flaps. Smaller wounds which werecovered with skin grafts, locally based flaps and pedicled muscle flaps were excluded. Results: Twenty-three reconstructions were performed for large or complex groin defects,utilising the anterolateral thigh (n=10) and the vertical rectus abdominis (n=13) pedicledmusculocutaneous flaps. Femoral vein reconstruction with a prosthetic graft was required inone patient, and a combination flap (VRAM and gracilis muscle flap) was performed inanother. Satisfactory coverage was achieved in all cases without major complications. No freeflaps were used in our series. Conclusions: The anterolateral thigh and vertical rectus abdominis pedicled musculocutaneousflaps yielded consistent results with little morbidity in the reconstruction of large and complexgroin defects. A combination of flaps can be used in cases requiring extensive cover.
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