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Foot and ankle reconstruction with vertically designed deep inferior epigastric perforator flap

Microsurgery · Mayıs 2018

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YÖKSİS Kayıtları
Foot and ankle reconstruction with vertically designed deep inferior epigastric perforator flap
Microsurgery · 2018 SCI-Expanded
DOÇENT GÖKÇE YILDIRAN →
Foot and ankle reconstruction with vertically designed deep inferior epigastric perforator flap
Microsurgery · 2018 SCI-Expanded
PROFESÖR ZEKERİYA TOSUN →

Makale Bilgileri

DergiMicrosurgery
Yayın TarihiMayıs 2018
Cilt / Sayfa38 · 369-374
Özet Introduction: The deep inferior epigastric perforator (DIEP) flap is one of the most commonly utilized flaps of reconstructive surgery. Although the horizontal flap design is the most commonly used, this flap can be vertically designed to avoid drawbacks such as excessive tissue dissection, relatively reduced flap perfusion, and scarification of the contralateral flap opportunity. The aim of this report is to present our case series for foot and ankle reconstruction with vertical designed DIEP flap. Patients and methods: The free vertically designed DIEP flaps (VDIEP) were used in eight patients (7 male, 1 female) whose age is in a range of 20–66 years for soft tissue reconstructions in the ankle and foot region over a five-year period. The range of defects’ size was from 8 × 5 cm to 15 × 7 cm and the causes were electrical burn, trauma and diabetic foot infections. Results: Flap dimensions varied from 10 × 6 cm to 17 × 9 cm. All the flaps had two or more perforators, and all flaps survived completely. There were no early or late complications. We followed up the patients for 10 months in average. We observed no functional problems, especially in main motions of foot and ankle like eversion, inversion, flexion or extension except one patient. Donor site scars were acceptable in all patients. Conclusions: The VDIEP flap may be an option for selected lower extremity soft tissue reconstructions, and it may be an alternative to classically designed abdominal flaps.

Yazarlar (5)

1
Osman Akdag
2
Mehtap Karamese
3
Gokce Yildiran
4
Mustafa Sutcu
5
Zekeriya Tosun

Kurumlar

İstanbul Medipol Üniversitesi
Istanbul Turkey
Selçuk Üniversitesi
Selçuklu Turkey

Metrikler

15
Atıf
5
Yazar

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