LymphedemaV1, Main, Exploration, bibRecord, 00AE87

Closure of elective skin defects in the leg with a fasciocutaneous V–Y island flap

Identifieur interne : 00AE87 ( Main/Exploration ); précédent : 00AE86; suivant : 00AE88

Closure 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.

RBID : ISTEX:7CA5651C4FB84C5C75DF4E6E52B6B7CD41763E28

Descripteurs français

KwdFr :
- Adulte d'âge moyen, Complications postopératoires, Femelle, Humains, Jambe (), Lambeaux chirurgicaux, Procédures de chirurgie reconstructive (), Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs cutanées (), Études de suivi.
MESH :
- Adulte d'âge moyen, Complications postopératoires, Femelle, Humains, Jambe, Lambeaux chirurgicaux, Procédures de chirurgie reconstructive, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs cutanées, Études de suivi.

English descriptors

KwdEn :
- Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Leg (surgery), Middle Aged, Postoperative Complications, Reconstructive Surgical Procedures (methods), Skin Neoplasms (surgery), Surgical Flaps, leg skin tumours, fasciocutaneous V–Y island flap..
MESH :
- methods : Reconstructive Surgical Procedures.
- surgery : Leg, Skin Neoplasms.
- Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Middle Aged, Postoperative Complications, Surgical Flaps.

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.

Url:

https://api.istex.fr/document/7CA5651C4FB84C5C75DF4E6E52B6B7CD41763E28/fulltext/pdf

DOI: 10.1054/bjps.1999.3138

Affiliations:

Le document en format XML

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<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>
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Closure of elective skin defects in the leg with a fasciocutaneous V–Y island flap

Closure of elective skin defects in the leg with a fasciocutaneous V–Y island flap

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

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