Distally based sural flap in treatment of chronic venous ulcers

Basit Öğe Kaydı
dc.contributor.authorTop, H
dc.contributor.authorBenlier, E
dc.contributor.authorAygit, AC
dc.contributor.authorKiyak, M
dc.date.accessioned2024-06-12T11:15:53Z
dc.date.available2024-06-12T11:15:53Z
dc.date.issued2005
dc.departmentTrakya Üniversitesien_US
dc.description.abstractThe 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.en_US
dc.identifier.doi10.1097/01.sap.0000168887.25946.54
dc.identifier.endpage165en_US
dc.identifier.issn0148-7043
dc.identifier.issn1536-3708
dc.identifier.issue2en_US
dc.identifier.pmid16034246en_US
dc.identifier.scopus2-s2.0-22944447422en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage160en_US
dc.identifier.urihttps://doi.org/10.1097/01.sap.0000168887.25946.54
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24091
dc.identifier.volume55en_US
dc.identifier.wosWOS:000230860100010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAnnals Of Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSuralen_US
dc.subjectFlapen_US
dc.subjectChronic Venous Ulceren_US
dc.subjectPedicled Fasciocutaneous Flapen_US
dc.subjectFree Tissue Transferen_US
dc.subjectSoleus Muscle Flapen_US
dc.subjectArtery Flapen_US
dc.subjectLower Legen_US
dc.subjectNeurofasciocutaneous Flapsen_US
dc.subjectClinical-Experienceen_US
dc.subjectLower-Extremityen_US
dc.subjectIsland Flapen_US
dc.subjectReconstructionen_US
dc.titleDistally based sural flap in treatment of chronic venous ulcersen_US
dc.typeArticleen_US

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