Distally based sural flap in treatment of chronic venous ulcers
Küçük Resim Yok
Tarih
2005
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams & Wilkins
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
The treatment of venous ulcers of the leg often fails to heal because venous ulcers are mostly associated with severe lipo-dermatosclerosis. These complicated ulcers may require correction of local hemodynamics, excision of ulcer with surrounding lipodermatosclerotic skin, and replacement of the defect with healthy tissue. We present our experience with the use of the distally based sural flaps for the reconstruction of soft-tissue defects of the distal region of the lower limb in patients with chronic venous ulcer. Between 2001 and 2003, 12 patients with venous ulceration were treated with distally based sural flaps. At operation, the ulcer and its surrounding lipodermatosclerotic skin were excised. The defects after excision ranged from 3 X 3 to I I X 17 cm. The distally based sural artery flap was inset within the defect. In all patients, the flap survived completely, and in only I patient, distal venous congestion was seen and was treated successfully with leeches. There was donor site skin graft loss in 2 patients. Two flaps had minor local complications that healed with local wound care. No recur-rent ulcers were identified after average 19.7 months. In conclusion, the distally based sural flaps can be used reliably for treatment of venous ulcers. Our approach in treatment of chronic venous ulcers improves venous hemodynamics and provides local flap alternative that should be considered prior to a free-flap transfer for closure of the defect.
Açıklama
Anahtar Kelimeler
Sural, Flap, Chronic Venous Ulcer, Pedicled Fasciocutaneous Flap, Free Tissue Transfer, Soleus Muscle Flap, Artery Flap, Lower Leg, Neurofasciocutaneous Flaps, Clinical-Experience, Lower-Extremity, Island Flap, Reconstruction
Kaynak
Annals Of Plastic Surgery
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
55
Sayı
2
