Perforator-Based Fasciocutaneous Island Rotation Flap in Treatment of Pressure sore
Journal of the Korean Microsurgical Society
;
: 23-29, 2007.
Artículo
en Coreano
| WPRIM
| ID: wpr-724758
ABSTRACT
The reconstruction of deep soft tissue defect such as pressure sore has difficult problems. Myocutaneous flaps have been used commonly as the best coverage method for pressure sore. But, they have several drawbacks such as sacrifice of functional muscle, high morbidity of the donor sites and bulkiness at the recipient site. The concepts of perforator flap has recently developed and widely used to overcome these disadvantages. Between March 2005 to July 2006, we have treated 9 patients who had pressure sore using perforator based fasciocutaneous island rotation flap. Preoperative unidirectional Doppler was used in all cases. Mean number of perforator vessels was 3.8 and flap sizes were from 7x5 cm to 14x13 cm. Rotation angles of flap were from 90 degree to 180 degree. In all cases, donor sites were closed primarily. All flap survived completely and postoperative complications were wound dehiscence in 1 case, wound infection in 3 cases. The mean postoperative follow up period was 15.7 months and recurrence was not reported. We could decrease donor site morbidity and cover wound sites easily by using flap rotation and get robust blood supply without sacrifice of functional muscle. Fasciocutaneous perforator island rotation flap would be very useful for various pressure sore treatment.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Recurrencia
/
Colgajos Quirúrgicos
/
Donantes de Tejidos
/
Infección de Heridas
/
Heridas y Lesiones
/
Estudios de Seguimiento
/
Úlcera por Presión
/
Colgajo Perforante
/
Colgajo Miocutáneo
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Microsurgical Society
Año:
2007
Tipo del documento:
Artículo
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