A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects

被引:14
作者
Rini, Irena Sakura [1 ]
Gunardi, Alberta Jesslyn [1 ]
Marsaulina, Renate Parlene [1 ]
Aryandono, Teguh [2 ]
Dachlan, Ishandono [3 ]
Dwiprahasto, Iwan [4 ]
机构
[1] Dharmais Canc Hosp, Dept Plast Surg, West Jakarta, Indonesia
[2] Univ Gadjah Mada, Dr Sardjito Hosp, Fac Med Publ Hlth & Nursing, Dept Surg,Div Oncol Surg, Yogyakarta, Indonesia
[3] Univ Gadjah Mada, Dr Sardjito Hosp, Fac Med Publ Hlth & Nursing, Dept Surg,Div Plast & Reconstruct Surg, Yogyakarta, Indonesia
[4] Univ Gadjah Mada, Fac Med Publ Hlth & Nursing, Dept Pharmacol & Therapy, Yogyakarta, Indonesia
来源
ARCHIVES OF PLASTIC SURGERY-APS | 2020年 / 47卷 / 06期
关键词
Perforator flap; Reconstructive surgical procedures; Torso; Systematic review; PROPELLER FLAPS; OUTCOMES; CLOSURE;
D O I
10.5999/aps.2020.00094
中图分类号
R61 [外科手术学];
学科分类号
摘要
The keystone design perforator island flap can be utilized in the repair of trunk defects. A systematic review was carried out to identify the complication rates of the use of this flap to treat such defects. The MEDLINE, Embase, Cochrane Library, and PubMed Central databases were searched for articles published between January 2003 and December 2018 that reported the use of keystone design perforator island flaps in the repair of trunk defects. Study selection was conducted in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eight articles involving a total of 54 flaps satisfied the inclusion criteria. The most frequently reported cause of trunk defects was oncologic resection (64.4%). The overall complication rate was 35.2%, and complications included infection (11.1%), wound dehiscence (7.4%), delayed healing (7.4%), and partial flap loss (1.9%). The keystone design perforator island flap is associated with a high success rate and low technical complexity. Despite minor complications, keystone design flaps could be a preferred choice for trunk reconstruction.
引用
收藏
页码:535 / 541
页数:7
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