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논문 기본 정보

자료유형
학술저널
저자정보
Aslim, Edwin Jonathan (Department of Urology, Singapore General Hospital) Rasheed, Mohamed Zulfikar (Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital) Lin, Fangbo (University of Auckland School of Medicine) Ong, Yee-Siang (Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital) Tan, Bien-Keem (Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제5호
발행연도
2014.1
수록면
556 - 561 (6page)

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Background Groin dissections result in large wounds with exposed femoral vessels requiring soft tissue coverage, and the reconstructive options are diverse. In this study we reviewed our experience with the use of the pedicled anterolateral thigh and vertical rectus abdominis musculocutaneous flaps in the reconstruction of large groin wounds. Methods Groin reconstructions performed over a period of 10 years were evaluated, with a mean follow up of two years. We included all cases with large or complex (involving perineum) defects, which were reconstructed with the pedicled anterolateral thigh musculocutaneous or the vertical rectus abdominis musculocutaneous (VRAM) flaps. Smaller wounds which were covered with skin grafts, locally based flaps and pedicled muscle flaps were excluded. Results Twenty-three reconstructions were performed for large or complex groin defects, utilising the anterolateral thigh (n=10) and the vertical rectus abdominis (n=13) pedicled musculocutaneous flaps. Femoral vein reconstruction with a prosthetic graft was required in one patient, and a combination flap (VRAM and gracilis muscle flap) was performed in another. Satisfactory coverage was achieved in all cases without major complications. No free flaps were used in our series. Conclusions The anterolateral thigh and vertical rectus abdominis pedicled musculocutaneous flaps yielded consistent results with little morbidity in the reconstruction of large and complex groin defects. A combination of flaps can be used in cases requiring extensive cover.
#Groins #Surgical flap #Pedicled flap #Musculocutaneous flap

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참고문헌 (16)

참고문헌 신청
Horenblas S / 1994 / Squamous cell carcinoma of the penis. IV. Prognostic factors of survival: analysis of tumor, nodes and metastasis classification system / J Urol 151:1239~1243 google schola Maser B / 1997 / Sartorius myoplasty for infected vascular grafts in the groin. Safe, durable, and effective / Arch Surg 132:522~525 google schola Chen SH / 1995 / Short gracilis myocuta-neous flaps for vulvoperineal and inguinal reconstruction / Plast Reconstr Surg 95:372~377 google schola Alkon JD / 2005 / Management of complex groin wounds: preferred use of the rectus femoris muscle flap / Plast Reconstr Surg 115:776~783 google schola Por YC / 2003 / Use of the scrotal remnant as a tissue-expanding musculocutaneous flap for scrotal reconstruction in Paget’s disease / Ann Plast Surg 51:155~160 google schola

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