Gracilis myocutaneous flap: evaluation of potential risk factors and long-term donor-site morbidity.

Abstract:

:This study reviewed our experience with the gracilis myocutaneous (GMC) flap, potential risk factors for flap necrosis, and long-term morbidity at the donor-site. From 1993 to 2002, 29 GMC flaps were harvested from 27 patients (pedicled n = 21 and free n = 8). The overall incidence of flap necrosis was 13.79% (partial (n = 2) and total (n = 2) necrosis). Flap necrosis was correlated with body mass index >25 (P = 0.022), with smoking (P = 0.04 9) and with radiation therapy at the recipient site (P = 0.020). The long-term morbidity at the donor-site was low, except for scar appearance (17.24%), thigh contour deformity (58.62%), and hypoesthesia (17.24%). Significant age and gender differences were seen for ranking of scar ugliness, with females (P = 0.0061) and younger patients (age ≤55) (P = 0.046) assigned higher values. Significant age differences were seen for ranking of thigh contour deformity, with younger patients assigned higher values (P = 0.0012). In conclusion, patient overweight, smoking, and previous radiation therapy at the recipient site may be the "potential risk factors" for flap necrosis. The long-term morbidity at the donor-site was low, which was in agreement with previous reported studies. A larger series would be the subject of a future study.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Papadopoulos O,Konofaos P,Georgiou P,Chrisostomidis C,Tsantoulas Z,Karypidis D,Kostakis A

doi

10.1002/micr.20899

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

448-53

issue

6

eissn

0738-1085

issn

1098-2752

journal_volume

31

pub_type

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