Closure of elective skin defects in the leg with a fasciocutaneous V–Y island flap
Identifieur interne : 003808 ( Istex/Checkpoint ); précédent : 003807; suivant : 003809Closure of elective skin defects in the leg with a fasciocutaneous V–Y island flap
Auteurs : A. J. Penington [Royaume-Uni] ; P. Mallucci [Royaume-Uni]Source :
- British Journal of Plastic Surgery [ 0007-1226 ] ; 1999.
English descriptors
Abstract
Skin defects in the leg can be among the most difficult to cover. Split skin grafting of such defects can be complicated by delayed healing and poor cosmesis and this has led to the description of several local flap techniques. Here a technique of V–Y flap closure is described based laterally on a random fascial pedicle.Twenty patients aged from 51 to 85 years had flaps for skin closure after excision of skin tumours, 17 of them in the middle or lower third of the leg. All but one were performed under local anaesthetic, seven as day cases and eight with an overnight stay. No patient was excluded because of medical conditions or skin quality and two patients had significant lymphoedema.A single V–Y flap was used in each case and was found to have much greater mobility than previously described similar flaps. Cosmetic results, and in particular contour preservation, were found to be excellent.There were no complete flap losses but four patients had delayed healing, two related to partial flap necrosis. Four patients had wound infections, one requiring readmission for intravenous antibiotics but no patient had further surgery.The fasciocutaneous V to Y island flap was found to be a very satisfactory method of wound closure in the leg with an acceptable complication rate and excellent cosmetic results.
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DOI: 10.1054/bjps.1999.3138
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Mallucci</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:7CA5651C4FB84C5C75DF4E6E52B6B7CD41763E28</idno><date when="1999" year="1999">1999</date><idno type="doi">10.1054/bjps.1999.3138</idno><idno type="url">https://api.istex.fr/document/7CA5651C4FB84C5C75DF4E6E52B6B7CD41763E28/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">003A46</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">003A46</idno><idno type="wicri:Area/Istex/Curation">003A46</idno><idno type="wicri:Area/Istex/Checkpoint">003808</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">003808</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Closure of elective skin defects in the leg with a fasciocutaneous V–Y island flap</title><author><name sortKey="Penington, A J" sort="Penington, A J" uniqKey="Penington A" first="A. J." last="Penington">A. J. Penington</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Plastic Surgery, The Radcliffe Infirmary, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region></placeName></affiliation></author><author><name sortKey="Mallucci, P" sort="Mallucci, P" uniqKey="Mallucci P" first="P." last="Mallucci">P. Mallucci</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Plastic Surgery, The Radcliffe Infirmary, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">British Journal of Plastic Surgery</title><title level="j" type="abbrev">YBJPS</title><idno type="ISSN">0007-1226</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999">1999</date><biblScope unit="volume">52</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="458">458</biblScope><biblScope unit="page" to="461">461</biblScope></imprint><idno type="ISSN">0007-1226</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0007-1226</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>leg skin tumours, fasciocutaneous V–Y island flap.</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Skin defects in the leg can be among the most difficult to cover. Split skin grafting of such defects can be complicated by delayed healing and poor cosmesis and this has led to the description of several local flap techniques. Here a technique of V–Y flap closure is described based laterally on a random fascial pedicle.Twenty patients aged from 51 to 85 years had flaps for skin closure after excision of skin tumours, 17 of them in the middle or lower third of the leg. All but one were performed under local anaesthetic, seven as day cases and eight with an overnight stay. No patient was excluded because of medical conditions or skin quality and two patients had significant lymphoedema.A single V–Y flap was used in each case and was found to have much greater mobility than previously described similar flaps. Cosmetic results, and in particular contour preservation, were found to be excellent.There were no complete flap losses but four patients had delayed healing, two related to partial flap necrosis. Four patients had wound infections, one requiring readmission for intravenous antibiotics but no patient had further surgery.The fasciocutaneous V to Y island flap was found to be a very satisfactory method of wound closure in the leg with an acceptable complication rate and excellent cosmetic results.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Oxfordshire</li></region><settlement><li>Oxford</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Penington, A J" sort="Penington, A J" uniqKey="Penington A" first="A. J." last="Penington">A. J. Penington</name></region><name sortKey="Mallucci, P" sort="Mallucci, P" uniqKey="Mallucci P" first="P." last="Mallucci">P. Mallucci</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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