Microsurgical Foot Reconstruction Using Endoscopically Harvested Muscle Flaps

우경제; 임소영; 변재경; 방사익; 오갑성; 문구현

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자료유형: 학술저널

저자정보: 우경제 (성균관대학교 의과대학 성형외과학교실) 임소영 (성균관대학교 의과대학 성형외과학교실) 변재경 (성균관대학교 의과대학 성형외과학교실) 방사익 (성균관대학교 의과대학 성형외과학교실) 오갑성 (성균관대학교 의과대학 성형외과학교실) 문구현 (성균관대학교 의과대학 성형외과학교실)

저널정보: 대한성형외과학회 대한성형외과학회지 대한성형외과학회지 제37권 제5호

발행연도: 2010.1

수록면: 571 - 576 (6page)

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Purpose: Reconstruction of soft tissue defects of the foot often requires free-flap transfer. Free muscle flap transfer and skin grafts on the muscle has been an option for these defects. Here we present our experiences of foot reconstruction using an endoscopy-assisted free muscle flap harvest. Methods: Using endoscopy-assisted free muscle flap harvests, four patients with soft tissue defects of the foot were treated with a free muscle flap and skin graft. The gracilis muscle was used for two patients and the rectus abdominis muscle for two. A single small transverse skin incision was placed on the lower abdomen for the rectus abdominis muscle. A small transverse skin incision on the proximal thigh was the only incision for harvesting the gracilis muscle flap. The small incisions were enough for the muscle flap to be pulled through. Results: The flaps survived successfully in all cases. Contours were good from both functional and aesthetic aspects. No breakdowns or ulcerations of the flap developed during long-term follow-up. Resultant scars were short and relatively hidden. Functional morbidities such as abdominal bulging were not noted. Conclusion: Endoscopy-assisted harvest of muscle flap and transfer with skin graft is a good option for soft tissue defects of the foot. Morbidities of the donor site can be minimized with endoscopic flap harvest. This method is preferable for young patients who want a small donor site scar.

#Foot reconstruction #Free flap #Endoscopic harvest

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우경제

소속기관 성균관대학교 의과대학 성형외과학교실

주요연구분야 의약학 > 임상의학 > 성형외과학

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Lim, So-Young

소속기관 Department of Plastic Surgery, Samsung Medical Centre, Sungkyunkwan University School of Medicine