Five Simple Techniques to Enable Rapid Elevation and Donor Site Closure of the Anterolateral Thigh Flap
| Autor: | Dariush Nikkhah, Georgios Pafitanis, Parviz Sadigh, Robert Miller, Roshan Vijayan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Dissection (medical) 030204 cardiovascular system & hematology Microsurgery Anterolateral thigh medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Cuff medicine business Lateral approach |
| Zdroj: | Journal of Hand and Microsurgery. 11:054-056 |
| ISSN: | 0974-6897 0974-3227 |
| Popis: | We describe five technical notes to facilitate rapid elevation of the anterolateral thigh flap for extremity reconstruction. We highlight the advantages of (1) a lateral approach; (2) identification of the perforator with the shortest intramuscular distance; (3) deroofing technique with cutting monopolar for pedicle dissection; (4) taking a cuff of vastus lateralis in some cases to avoid unnecessary long perforator dissection; and (5) closure of large donor sites with a modified keystone flap. Using the sequence reduces flap-raising times to 60 to 90 minutes and improves theater usage while achieving excellent outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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