LOWER EXTREMITY RECONSTRUCTION WITH BIPEDICULATED FREE DEEP INFERIOR EPIGASTRIC ARTERY PERFORATOR (DIEP) FLAP: A CASE REPORT

被引:0
作者
Yogun, Nilay Fatma [1 ]
Karaaltin, Mehmet Veli [1 ]
Guneren, Ethem [1 ]
机构
[1] Bezmialem Vakif Univ, Tip Fak, Plast Rekonstruktif & Estet Cerrahi Anabilim Dali, Istanbul, Turkey
来源
TURKISH JOURNAL OF PLASTIC SURGERY | 2011年 / 19卷 / 03期
关键词
DIEP; Flap; Lower extremity;
D O I
暂无
中图分类号
R61 [外科手术学];
学科分类号
摘要
Higher quality, fast, safe and permanent repair results can be observed with lower extremity reconstruction with free tissue transfer. Nevertheless the partial or total loss of flap is a serious problem due to the vascular problems of free tissue transfer. CASE: 68 year old female patient with tissue defect in lower left extremity due to high enegy trauma had operated with 42x14 cm bipediculated free deep inferior epigastric artery perforator flap. The 42x14 cm flap which provided by bilateral 2 pedicules adaptated to its new localization and healed uneventfully. It has been recommended to prepare two individual pedicules in proper cases when big flap size required to reduce the risk of flap loss, as in the case with big size flap.
引用
收藏
页码:135 / 137
页数:3
相关论文
共 11 条
[1]   Perioperative fluid overload increases anastomosis thrombosis in the free TRAM flap used for breast reconstruction [J].
Booi D.I. .
European Journal of Plastic Surgery, 2011, 34 (2) :81-86
[2]   THE MANAGEMENT OF OPEN TIBIAL FRACTURES WITH ASSOCIATED SOFT-TISSUE LOSS - EXTERNAL PIN FIXATION WITH EARLY FLAP COVERAGE [J].
BYRD, HS ;
CIERNY, G ;
TEBBETTS, JB .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1981, 68 (01) :73-79
[3]   A Cost-Utility Analysis of Amputation versus Salvage for Gustilo Type IIIB and IIIC Open Tibial Fractures [J].
Chung, Kevin C. ;
Saddawi-Konefka, Daniel ;
Haase, Steven C. ;
Kaul, Gautam .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2009, 124 (06) :1965-1973
[4]   Use of the Upper Medial Thigh Perforator Flap (Gracilis Perforator Flap) for Lower Extremity Reconstruction [J].
Eom, Jin Sup ;
Sun, Sang Hoon ;
Hong, Joon Pio .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2011, 127 (02) :731-737
[5]   EARLY MICROSURGICAL RECONSTRUCTION OF COMPLEX TRAUMA OF THE EXTREMITIES [J].
GODINA, M .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1986, 78 (03) :285-292
[6]   THE BIPEDICLED LATISSIMUS DORSI MYOCUTANEOUS FREE FLAP: CLINICAL EXPERIENCE WITH 53 PATIENTS [J].
Karaaltin, Mehmet Veli ;
Erdem, Adnan ;
Canter, Ibrahim ;
Cavdar, Guenay ;
Baghaki, Semih .
MICROSURGERY, 2010, 30 (03) :179-184
[7]   THE TIMING OF MICROSURGICAL RECONSTRUCTION IN LOWER EXTREMITY TRAUMA [J].
Karanas, Yvonne L. ;
Nigriny, John ;
Chang, James .
MICROSURGERY, 2008, 28 (08) :632-634
[8]   Health-care costs associated with amputation or reconstruction of a limb-threatening injury [J].
MacKenzie, Ellen J. ;
Jones, Alison Snow ;
Bosse, Michael J. ;
Castillo, Renan C. ;
Pollak, Andrew N. ;
Webb, Lawrence X. ;
Swiontkowski, Marc F. ;
Kellam, James E. ;
Smith, Douglas G. ;
Sanders, Roy W. ;
Jones, Alan L. ;
Starr, Adam J. ;
McAndrew, Mark P. ;
Patterson, Brendan M. ;
Burgess, Andrew R. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (08) :1685-1692
[9]   Bipedicle Deep Inferior Epigastric Perforator Flap for Unilateral Breast Reconstruction: Seven Years' Experience [J].
Xu, Hua ;
Dong, Jiasheng ;
Wang, Tao .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2009, 124 (06) :1797-1807
[10]  
Zhu Xiong-xiang, 2010, Zhonghua Shao Shang Za Zhi, V26, P256