| Autor: |
F, Thuau, U, Lancien, V, Crenn, P, Perrot, F, Duteille |
| Jazyk: |
francouzština |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Annales de chirurgie plastique et esthetique. 67(2) |
| ISSN: |
1768-319X |
| Popis: |
The neurocutaneous sural flap is useful to cover defects of the distal quarter of the lower limb. Nevertheless, severe complications occur in 14% of the cases, and venous congestion is reported in 75% of these cases. This congestion can lead to total necrosis of the flap and a failure of the procedure. We describe a new surgical method aiming to reduce the risk of venous congestion occurrence and failure of the defect coverage.We realized a retrospective study of patients who undergone a de-epidermized distally based neurocutaneous sural flap in our surgery department from 2015 to 2020. The following data were collected: sex, age, vascular risk factors, size of the wound, defect area, etiology, delay between the surgery of the flap and the split-thickness skin graft and complications.The cohort is composed of 5 cases. We reported no failure of the coverage of the defect. There were no cases of venous congestion.The de-epidermized distally based neurocutaneous sural flap could increase the reliability of these flaps by reducing the risk of venous congestion. A larger study comparing the classic technique to the de-epidermized sural flap could confirm these data on a greater number of cases and position this technique in the therapeutic arsenal. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect