Abdominoplasty as the patient impetus for selection of the deep inferior epigastric artery perforator free flap for knee coverage.

Abstract:

:Extensive wounds about the knee can rarely be covered with local or even regional flaps. Free flaps often then become obligatory. Many factors will determine the surgeon's selection of the best donor site. Yet the patients' concerns with donor site morbidity cannot be overlooked. Most would agree that a large, but relatively thin flap would be optimal to preserve knee mobility. The deep inferior epigastric artery perforator (DIEAP) flap would therefore not usually be the donor site of choice from the surgeon's perspective. However, the opportunity to have a concomitant abdominoplasty that would improve body image or result in a scar readily hidden by clothing is an enticement for the patient not to be dismissed, under what normally are otherwise depressing circumstances. Over the past decade, three female patients have chosen the DIEAP free flap solely for the latter reasons, fully realizing that later flap revision would be needed to improve the function and appearance at the recipient site.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Hallock GG

doi

10.1002/micr.22144

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

102-5

issue

2

eissn

0738-1085

issn

1098-2752

journal_volume

34

pub_type

杂志文章
  • Head and neck reconstruction using cephalic vein transposition in the vessel-depleted neck.

    abstract::In microvascular reconstructive surgery the patency of the recipient vessels is the key to successful outcome. In head and neck surgery there is often a lack of adequate recipient vessels as a result of chemoradiation therapy and ablative surgery. To overcome this it is crucial to identify vessels of adequate length a...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20680

    authors: Vasilakis V,Patel HD,Chen HC

    更新日期:2009-01-01 00:00:00

  • Transfer of brachialis branch of musculocutaneous nerve for finger flexion: anatomic study and case report.

    abstract::Based on an anatomic study, a transfer of the brachialis muscle branch of the musculocutaneous nerve (BMBMCN) to finger flexor functional fascicles of the median nerve was designed. Preliminary results of clinical application of this new procedure are reported. Dissection of 32 cadaver upper limbs revealed that BMBMCN...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20053

    authors: Gu Y,Wang H,Zhang L,Zhang G,Zhao X,Chen L

    更新日期:2004-01-01 00:00:00

  • Free versus perforator-pedicled propeller flaps in lower extremity reconstruction: What is the safest coverage? A meta-analysis.

    abstract:INTRODUCTION:Currently, increasingly reconstructive surgeon consider the failure rates of perforator propeller flaps especially in the distal third of the lower leg are too important and prefer to return to the use of free flap at first line option with failure rates frequently lower than 5%. So, we performed a systema...

    journal_title:Microsurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/micr.30047

    authors: Bekara F,Herlin C,Somda S,de Runz A,Grolleau JL,Chaput B

    更新日期:2018-01-01 00:00:00

  • Intraoperative flap design using ICG monitoring of a conjoined fabricated anterolateral thigh/tensor fasciae latae perforator flap in a case of extensive soft tissue reconstruction at the lower extremity.

    abstract::In this report, we present a case of the use of a conjoined fabricated free anterolateral thigh (ALT)/tensor fascia latae (TFL) perforator flap for reconstruction of the lower extremity with intraoperative flap design using intraoperative indocyanine green (ICG) monitoring. The flap was used for reconstruction of a 16...

    journal_title:Microsurgery

    pub_type:

    doi:10.1002/micr.22424

    authors: Buehrer G,Taeger CD,Ludolph I,Horch RE,Beier JP

    更新日期:2016-11-01 00:00:00

  • Noradrenaline levels rise significantly in rat arterial grafts at 6 hours postoperatively, and take 48 hours to come down.

    abstract::The aim of this study was to investigate the rate of disappearance of noradrenaline in arterial grafts after their transplanation. Arterial grafts were harvested from AO/Ks:OC strain rats. In each rat, a graft was harvested from the femoral artery and transplanted into the common carotid artery. A contralateral unoper...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20004

    authors: Penttilä H,Huttunen P,Von Smitten K,Waris T,Ashammakhi N

    更新日期:2004-01-01 00:00:00

  • Circumferential choledochoplasties with autologous venous and arterial grafts.

    abstract::Circumferential choledochoplasties with vascular grafts have rarely been attempted either experimentally or in clinical practice. In this study, choledochoplasties using autologous venous and arterial grafts were performed in rats. Sixty-four rats were randomly selected into five treatment groups: A) venous interposit...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920140917

    authors: Flati G,Flati D,Porowska B,Rossi G,Francavilla S,Santoro E,Carboni M

    更新日期:1993-01-01 00:00:00

  • Free vascularized nerve grafts: an experimental study in the rabbit.

    abstract::An experimental animal model of a vascularized graft is presented as an alternative to recover faster function. The technique is described and the model compared to a conventional graft in the sciatic nerve of a rabbit. Results are evaluated with histological studies and quantified using a computer to measure the thic...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920060205

    authors: Restrepo Y,Merle M,Michon J,Folliguet B,Barrat E

    更新日期:1985-01-01 00:00:00

  • Use of the venous flap for salvage of difficult ring avulsion injuries.

    abstract::Ring avulsion can lead to soft tissue compromise resulting in eventual digit failure or restriction of motion. The authors present use of the venous flow through flap for simultaneous soft tissue and digital vessel reconstruction in severe ring avulsion injury. A retrospective review of ring avulsion injuries treated ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20527

    authors: Brooks D,Buntic RF,Taylor C

    更新日期:2008-01-01 00:00:00

  • A more versatile and reliable method for renal transplantation in the rat.

    abstract::This study describes the authors' experience with a new method of orthotopic renal transplantation in the rat. This technique combines previously described modifications with the use of the donor inferior vena cava as a conduit to perform an end-to-side venous anastomosis. Survival was 87% and 80% at 3 and 120 days, r...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1998)18:4<267::aid-micr10>

    authors: Blom D,Orloff MS

    更新日期:1998-01-01 00:00:00

  • Free SCIA/SIEA skin flap: a dual blood supply approach to groin region.

    abstract::Free groin flap donor skin is unequaled in generous skin supply and inconspicuousness. We reliably utilize this region by taking advantage of the dual blood supply from superficial circumlex iliac (SCIA) and superficial inferior epigastric (SIEA) arteries and name the flap "Free SCIA/SIEA skin flap." The arterial pedi...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20416

    authors: Aydin MA,Nasir S

    更新日期:2007-01-01 00:00:00

  • Versatility of the thin groin flap.

    abstract::The groin flap is one of the most usable flaps. It provides a large amount of skin coverage with an easily concealed donor site. However, when the flap is used to reconstruct areas of the neck, hand, or foot, a secondary procedure for defatting is usually necessary. Thinner flaps are thought to be more useful in these...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(SICI)1098-2752(1996)17:1<41::AID-MICR8>3.

    authors: Murakami R,Fujii T,Itoh T,Tsutsui K,Tanaka K,Lio Y,Yano H

    更新日期:1996-01-01 00:00:00

  • Assessment of the patency of microvascular anastomoses using microscope-integrated near-infrared angiography: a preliminary study.

    abstract:BACKGROUND:: Technical problems at the site of the anastomosis compromise an underappreciated proportion of microsurgical free tissue transfers. Intraoperative identification of technical errors may be able to prevent reexploration surgery and early flap failure. We report the first human study on a new microscope-inte...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20645

    authors: Holm C,Mayr M,Höfter E,Dornseifer U,Ninkovic M

    更新日期:2009-01-01 00:00:00

  • Persistent genital arousal disorder: Treatment by neurolysis of dorsal branch of pudendal nerve.

    abstract:BACKGROUND:Persistent genital arousal disorder (PGAD) is a woman's perception that she is in a state of sexual arousal, without the ability of arousal to be satisfied by orgasm. It is the hypothesis of this study that PGAD results from a minimal degree of nerve compression of the dorsal branch of the pudendal nerve. If...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30464

    authors: Klifto K,Dellon AL

    更新日期:2020-02-01 00:00:00

  • Microvascular replantation in a seven-month-old girl: a case report.

    abstract::Replantation of an amputated digit in a child demands special techniques for success. Our experiences with replantation in this age group have shown that although these patients have a lower viability rate after digital replantation, those digits that do survive develop excellent function. In this case report of a 7-m...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920090308

    authors: Gaul JS 3rd,Nunley JA

    更新日期:1988-01-01 00:00:00

  • Evaluation of 389 patients following free-flap lower extremity reconstruction with respect to secondary refinement procedures.

    abstract:INTRODUCTION:Primary functional and aesthetic results after free-flap salvage of lower extremities are occasionally suboptimal. The objective of this study was to identify predictors for secondary refinement procedures such as liposuction, dermolipectomy, or direct excision. In addition, patient-reported long-term sati...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30219

    authors: Kotsougiani D,Platte J,Bigdeli AK,Hoener B,Kremer T,Kneser U,Harhaus L

    更新日期:2018-03-01 00:00:00

  • Complex abdominopelvic reconstruction by combined tensor fascia latae and superficial circumflex iliac artery perforator flaps.

    abstract:BACKGROUND:Extensive full thickness abdominopelvic defects pose a difficult challenge to surgeons. Autologous tissues are versatile and can provide a satisfying reconstructive option for this type of defects. The tensor fascia latae (TFL) and superficial circumflex iliac perforator (SCIP) flaps provide a large area of ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30391

    authors: Luca-Pozner V,Boissiere F,Rodriguez T,Karra A,Herlin C,Chaput B

    更新日期:2020-01-01 00:00:00

  • The potential roles for adipose tissue in peripheral nerve regeneration.

    abstract:INTRODUCTION:This review summarizes current understanding about the role of adipose-derived tissues in peripheral nerve regeneration and discusses potential advances that would translate this approach into the clinic. METHODS:We searched PubMed for in vivo, experimental studies on the regenerative effects of adipose-d...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.22480

    authors: Walocko FM,Khouri RK Jr,Urbanchek MG,Levi B,Cederna PS

    更新日期:2016-01-01 00:00:00

  • Lateral lower leg perforator flaps: an anatomical study to localize and classify lateral lower leg perforators.

    abstract::Despite increasing use of lateral lower leg perforator flaps, comprehensive anatomical data are still lacking. The aim of this article was to comprehensively document the pattern of usable lateral lower leg perforators. Systematic mapping of 16 cadaver leg perforators in a well-defined area was performed to elucidate ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22313

    authors: Hupkens P,Schijns W,Van Abeelen M,Kooloos JG,Slater NJ,Ulrich DJ

    更新日期:2015-02-01 00:00:00

  • Repairing a 35-mm-long median nerve defect with a chitosan/PGA artificial nerve graft in the human: a case study.

    abstract::We have developed a chitosan/polyglycolic acid (PGA) artificial nerve graft which was previously used for bridge implantation of dog sciatic nerves across 30-mm long defects. Here we describe a clinical trial of this graft for repairing a 35-mm-long median nerve defect at elbow of a human patient. During the 3-year fo...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20488

    authors: Fan W,Gu J,Hu W,Deng A,Ma Y,Liu J,Ding F,Gu X

    更新日期:2008-01-01 00:00:00

  • New method of surgical treatment of blood vessel lesions.

    abstract::Professor Androsov's articles should be of considerable interest to American surgeons, representing as they do a new freedom in the exchange of ideas with the medical profession of the Soviet Union. In recent years no Russian surgeon has sought publication of original work in surgical journals of this country. Early l...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920130305

    authors: Androsov PI

    更新日期:1992-01-01 00:00:00

  • Eight years experience in crush and avulsion type finger amputation.

    abstract::Between July 1986 and July 1994, we studied 125 total finger amputations due to crush and avulsion type injuries at the Izmir Hand and Microsurgery Hospital. Of the 125 fingers replanted, 88 were successful, for a general survival rate of 70.4%. In the period between 1986 and 1991, we performed end-to-end anastomoses ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920161107

    authors: Ozerkan F,Ada S,Bora A,Kaplan I,Ademoglu Y

    更新日期:1995-01-01 00:00:00

  • Calcaneal reconstruction after total calcanectomy with iliac crest free flap.

    abstract:INTRODUCTION:Calcaneal tumors being a rare occurrence, surgical options and outcomes are not well-known. Extensive defects following wide resection, especially in weight-bearing areas, still remain a challenge and different reconstructive techniques have been proposed. The aim of this report was to analyze the clinical...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30452

    authors: Innocenti M,Lucattelli E,Daolio PA,Bastoni S,Marini E,Scoccianti G,Menichini G

    更新日期:2019-11-01 00:00:00

  • Cryopreservation of vascularized ovary: an evaluation of histology and function in rats.

    abstract::Cryopreservation of organs has been investigated to sustain the reproductive function of patients undergoing sterilizing chemotherapy and radiotherapy or reproductive surgery. A modified protocol for whole organ cryopreservation was described and the outcome of cryopreservative ovaries was evaluated, and apoptosis of ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20516

    authors: Qi S,Ma A,Xu D,Daloze P,Chen H

    更新日期:2008-01-01 00:00:00

  • Repair of bone defect with vascularized tissue engineered bone graft seeded with mesenchymal stem cells in rabbits.

    abstract::This study evaluated the results of repair of the radius defect with a vascularized tissue engineered bone graft composed by implanting mesenchymal stem cells (MSCs) and a vascular bundle into the xenogeneic deproteinized cancellous bone (XDCB) scaffold in a rabbit model. Sixty-four rabbits were used in the study. Amo...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20854

    authors: Zhao M,Zhou J,Li X,Fang T,Dai W,Yin W,Dong J

    更新日期:2011-02-01 00:00:00

  • An analysis of free flap failure using the ACS NSQIP database. Does flap site and flap type matter?

    abstract:PURPOSE:We sought to use the NSQIP database to determine the national rate and predictors of free flap failure based upon flap sites and flap types. METHODS:Free flaps were identified using the 2005-2010 NSQIP database. We examined overall flap failure rates as well as failure rates based upon flap sites (head and nec...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30121

    authors: Kwok AC,Agarwal JP

    更新日期:2017-09-01 00:00:00

  • Early survival of a compromised fasciocutaneous flap without pedicle revision: monitoring with photoplethysmography.

    abstract::While free flaps are reliant on their vascular pedicle for survival intraoperatively and for a variable period of time postoperatively, there have been reports of late pedicle compromise after which complete flap survival has ensued. Successful neovascularization and revascularization at the edges of a flap in such ca...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20781

    authors: Chubb D,Rozen WM,Ashton MW

    更新日期:2010-09-01 00:00:00

  • Local recombinant tissue plasminogen activator (rt-PA) thrombolytic therapy in microvascular surgery.

    abstract::Vascular thrombosis remains a dreaded complication of any microvascular procedure, be it composite tissue transfer or replantation of amputated limbs or parts. Despite the tremendous advances in microvascular-related technologies and the accumulated surgical skills, failures caused by occlusion of anastomosed vessels ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1999)19:6<265::aid-micr2>3

    authors: Atiyeh BS,Hashim HA,Hamdan AM,Moucharafieh RS

    更新日期:1999-01-01 00:00:00

  • Reconstruction of diabetic lower leg and foot soft tissue defects using thoracodorsal artery perforator chimeric flaps.

    abstract:BACKGROUND:Reconstruction of complicated diabetic lower leg and foot defects involving multiple tissue components remains a challenge. The purpose of this report is to introduce thoracodorsal artery perforator (TDAP) chimeric flaps for reconstructing diabetic lower leg and foot soft tissue defects. PATIENTS AND METHOD...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30314

    authors: Sung IH,Jang DW,Kim SW,Kim YH,Kim SW

    更新日期:2018-09-01 00:00:00

  • Survival of microvascular free flaps in mandibular reconstruction: A systematic review and meta-analysis.

    abstract:BACKGROUND:Free tissue transfer is commonly used in the reconstruction of post-ablative defects of the mandible. Due to lack of statistical power, comparing the survival of various free flaps, even in large studies, is challenging. The purpose of this study was to perform a meta-analysis comparing the survival of the m...

    journal_title:Microsurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/micr.22471

    authors: Markiewicz MR,Bell RB,Bui TG,Dierks EJ,Ruiz R,Gelesko S,Pirgousis P,Fernandes R

    更新日期:2015-10-01 00:00:00

  • A new technique for microvascular sleeve anastomosis.

    abstract::This study describes our experience using an improved technique for microsurgical sleeve anastomosis of arteries. Modifications of previously described techniques include utilization of a sidecut and placement of the two stitches within separate vertical planes. In 40 arteries, we attained a patency rate of 97.5%. His...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920120502

    authors: Zhang L,Tuchler RE,Shaw WW,Siebert JW

    更新日期:1991-01-01 00:00:00