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Items from 1 to 19 out of 19 results

article

Defining the Indications of Pedicled Groin and Abdominal Flaps in Hand Reconstruction in the Current Microsurgery Era

Mohammad M. Al-Qattan, Ahmed M. Al-Qattan

The Journal of Hand Surgery > 2016 > 41 > 9 > 917-927

Three decades ago, pedicled flaps from the groin and abdomen were the workhorses in hand and forearm reconstruction. These pedicled flaps have several disadvantages including patient discomfort, stiffness, the need for flap division, and the inability to elevate the hand after acute trauma. Hence it is not surprising that free flap reconstruction has become the method of choice in coverage of complex...

article

End-to-patch anastomosis for microvascular transfer of free flaps with small pedicle

Seong Yoon Lim, Matthew Sze-Wei Yeo, Fabio Nicoli, Pedro Ciudad, more

Journal of Plastic, Reconstructive & Aesthetic Surgery > 2015 > 68 > 4 > 559-564

Although perforator-to-perforator anastomosis in supermicrosurgery may be used in transferring free flaps with small vessels, it is still difficult in certain situations that include potentially infected wounds. Moreover, it is limited to smaller flaps. Anastomosis of large vessels is still safer for transfer of a large flap for most surgeons. The harvesting of a patch of the parent artery together...

article

Protective effects of antithrombin on free groin flaps after secondary venous stasis in the rat model

J. Wallmichrath, R. Knab, R.G.H. Baumeister, E. Volkmer, more

Journal of Plastic, Reconstructive & Aesthetic Surgery > 2014 > 67 > 5 > 707-711

The anticoagulant activity of heparin is well established and led to its widespread clinical use for the prophylaxis and treatment of venous thrombosis in microsurgery. Heparin accelerates antithrombin (AT)-mediated inhibition of clotting and fibrinolytic proteinases.The aim of the study is to determine whether the focussed delivery of AT by rinsing of free adipocutaneous groin flaps shows protective...

article

Preputial flap as an adjunct to groin flap for the coverage of electrical burns in the hand

Vinay Kumar Tiwari, Sujata Sarabahi, Shashank Chauhan

Burns > 2014 > 40 > 1 > e4-e7

High voltage electrical contact to hand result in injuries at multiple levels that may require more than a single flap for effective coverage. We present here a simple technique to utilise preputial flap as an adjunct to groin flap in cases where simultaneous coverage was required at more than one site in hands. In the past two years, 15 patients with unilateral involvement of hands due to electrical...

article

Free groin flap in hemifacial volume reconstruction

Alistair R.M. Cobb, Maarten J. Koudstaal, Neil W. Bulstrode, Timothy W. Lloyd, more

British Journal of Oral & Maxillofacial Surgery > 2013 > 51 > 4 > 301-306

Use of the free groin flap, one of the first microvascular free flaps described, has been neglected recently because it has a short pedicle and varies anatomically. However, we have found its anatomical features and type of tissue ideal for volumetric enhancement in severe hemifacial asymmetry. We present a retrospective review of a consecutive series of 14 patients who had hemifacial augmentation...

article

Reconstruction of the thumb amputation at the carpometacarpal joint level by groin flap and second toe transfer

S. Raja Sabapathy, Hari Venkatramani, Praveen Bhardwaj

Injury > 2013 > 44 > 3 > 370-375

Traumatic loss of thumb at the carpometacarpal (CMC) joint level is very disabling to an individual. Pollicisation is the recommended technique of reconstruction for loss of thumb at this level. On occasions, injury to the rest of the hand or amputation of additional fingers may make pollicisation an impossible option. Microsurgical transfer of second toe is an option in such situations. Although...

article

Apoptosis in extracorporeal preserved inguinal fat flaps of the rat

Christian Herold, Hans O. Rennekampff, Lea Ohm, Sarah Strauß, more

Apoptosis > 2012 > 17 > 4 > 400-409

Fat cells are fragile cells with a short life span outside the body. Ways to reduce cell death in a biochemical way are almost unknown due to scarce information on the type of cellular death that is induced in fat tissue. This study was designed to investigate the apoptotic pathways of fat tissue in a permanent perfusion bioreactor system with the Hannover preservation solution and the Eurocollins...

article

Two for the price of one: Recycling a free flap

J. Tan, S. Kay, G. Bourke

Journal of Plastic, Reconstructive & Aesthetic Surgery > 2011 > 64 > 12 > 1702-1704

Free flaps are now an established, successful, method of reconstruction for complex soft tissue defects. Improvements in microsurgical techniques, anatomical understanding and instruments have resulted in the evolution of free flap surgery to now encompass synchronous double free flap surgery and "free style" type flaps based on perforators. Although there have been reports of a single free...

article

‘Mini’ free groin flap for treatment of a tufted angioma of the finger

D. Collins, N.J. Sebire, A. Barnacle, V. Ramakrishnan, more

Journal of Plastic, Reconstructive & Aesthetic Surgery > 2011 > 64 > 5 > e128-e131

Tumours in children can be alarming and diagnosis difficult when the pathology is rare. Furthermore tumours on the finger and subsequent treatment may lead to loss of function. The often-difficult decisions regarding treatment of vascular anomalies are often best managed in the multidisciplinary team meeting.Kaposiform hemangioendothelioma (KHE) and tufted angioma (TA) are rare forms of vascular tumours...

article

Der gestielte Leistenlappen zur Defektdeckung an der Hand

Andreas Jokuszies, Andreas David Niederbichler, Nina Hirsch, Daniel Kahlmann, more

Operative Orthopädie und Traumatologie > 2010 > 22 > 4 > 440-451

Operationsziel Defektdeckung des beuge- und streckseitigen Hand- und Unterarmbereichs bis zu einer maximalen Defektgröße von 10 × 25 cm. Indikationen Weichteildefekte des beuge- und streckseitigen Hand- und Unterarmbereichs bis zu einer maximalen Defektgröße von 10 × 25 cm. Kontraindikationen Polytraumatisierte Patienten mit lebensbedrohlichen Begleitverletzungen. In diesen Fällen sollte...

article

Clinical application and refinement of the microdissected thin groin flap transfer operation

Naohiro Kimura, Masami Saitoh, Toshiaki Hasumi, Noriyoshi Sumiya, more

Journal of Plastic, Reconstructive & Aesthetic Surgery > 2009 > 62 > 11 > 1510-1516

A microdissected thin groin flap is a uniform thin flap with a long vascular pedicle prepared by microdissection of the deep branch of the superficial circumflex femoral system (SCIS). However, the safe dimensions of the flap are not known, and anatomical variations of the SCIS sometimes impede elevation of the flap based on the deep branch. Therefore, modifications of the operation and accumulation...

article

Filling of Tissue Defects in the Hand With A Pediculed Osteocutaneous Groin Flap

Jerzy Jabłecki, Leszek Kaczmarzyk, Adam Domanasiewicz, Maciej Paruzel

Comparative Professional Pedagogy > 2009 > 81 > 5 > 230-235

<bold>The aim of the study</bold> was to evaluate the efficacy of pedicled osteocutaneous groin flaps in treatment of tissue defects of the hand.<bold>Material and methods.</bold> Twelve pedicled osteocutaneous groin flaps were used to fill bone defects of the hand in the same amount of patients (10 males and 2 females) aged 20-53 years (mean 33.4 years, SD 12 years). The defects...

article

Filling of Tissue Defects in the Hand With A Pediculed Osteocutaneous Groin Flap

Jerzy Jabłecki, Leszek Kaczmarzyk, Adam Domanasiewicz, Maciej Paruzel

Polish Journal of Surgery > 2009 > 81 > 5 > 230-235

article

The Combined Use of a Pedicled Superficial Inferior Epigastric Artery Flap and a Groin Flap for Reconstruction of a Dorsal and Volar Hand Blast Injury

Joon Y. Choi, Kevin C. Chung

HAND > 2008 > 3 > 4 > 375-380

A hand blast injury case causing a large through-and-through composite tissue loss is presented. This injury resulted in a dorsal and a palmar hand defect with segmental bone loss. Soft tissue coverage of both dorsal and palmar wounds was achieved by two separate pedicle flaps with pedicles closely arising from the femoral artery: a superficial inferior epigastric artery (SIEA) flap and a groin flap...

article

Full-thickness skin necrosis after arginine extravasation-a case report and review of literature

Yousef Salameh, Aziz Shoufani

Journal of Pediatric Surgery > 2004 > 39 > 4 > e9-e11

The arginine test is highly useful in the evaluation of short-stature children and adolescents. Extravasation of arginine can cause full-thickness skin necrosis that requires serious surgical intervention with aesthetic and functional sequellea. The authors describe a case of distal forearm skin necrosis caused by arginine extravasation that was treated by wide debridement and a combination of groin...

article

The cutaneo-lymph node flap of the superficial circumflex artery

Assouad, Becker, Hidden, Riquet

Surgical and Radiologic Anatomy > 2002 > 24 > 2

Abstract. Upper limb lymphoedema and associated radiation-damaged chest wall are complications occurring after breast cancer treatment. Previous anatomical and clinical studies have demonstrated the usefulness of inguinal lymph node autotransplantation in managing lymphoedema. The present anatomical study is a complement to previous studies about the cutaneous inguinal flap. It has demonstrated the...

article

Resurfacing deep wound of upper extremities with pedicled groin flaps

Ye-Yang Li, Jin-Lun Wang, Ye Lu, Jun Huang

Burns > 2000 > 26 > 3 > 283-288

A total of 29 axial pedicled groin skin flaps were applied clinically with satisfactory result excepting for one flap which tailed on transplantation. These cases included severe scar contracture of the dorsum of hands in 20 patients, deeply burned wounds with infection and exposure of deep structure in upper extremities in nine patients, such as electrical burns and hot-crushing injuries. The flap...

article

Topographisch anatomische Studie der Gewebetransplantate der Leistenregion

Stephan Remmert, Cordula Kunikowski, Sabine Meyer, Konrad Sommer

Annals of Anatomy > 1998 > 180 > 1 > 59-68

An 25 unfixierten Leichen wurde die Topographie der A. und V. circumflexa ilium superficialis und profunda sowie der A. epigastrica inferior superficialis als axiale Gefäßbündel für Transplantate der Leistenregion untersucht. Durch Farbstoffinjektionen mit Methylenblau wurde das Kapillargebiet der genannten Arterien im Knochen (Beckenschaufel), in der Muskulatur(M. obliquus internus abdominis) und...

article

Allongement et couverture par lambeau inguinal d'un moignon d'amputation traumatique antébrachial court

P.Y. Milliez, I. Auquit, N. Biga, J.M. Thomine

Annales de Chirurgie de la Main > 1995 > 14 > 1 > 28-32

Une amputation traumatique particulièrement courte de l'avant-bras a pu bénéficier d'une prothèse contact libérant le coude, après un programme opératoire au long cours qui a comporté : 1) un allongement progressif de 8 cm du cubitus par distracteur de Wagner ; 2) puis un lambeau inguinal de couverture distale du moignon. Les complications qui ont émaillé l'allongement cubital sont en rapport avec...

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