What is a fascial flap?
Fasciocutaneous flaps are tissue flaps that include skin, subcutaneous tissue and the underlying fascia. Including the deep fascia with its prefascial and subfascial plexus enhances the circulation of these flaps. They can be raised without skin and are then referred to as fascial flaps.
How do you do a rotation flap?
The procedure involving the classic rotation flap can be thought of as closure of a triangular defect. The defect can be visualized as a portion of a much larger circle. By cutting along the arc of the circle, tissue is freed to rotate into the defect.
What is a muscle flap?
The muscle flap uses only muscle for defect coverage. It is used primarily to provide a well-vascularized soft tissue that is relatively resistant to infection, helps wounds heal, and offers a vascularized surface for skin grafts. The muscle flap is commonly used to eradicate infection and to revascularize bone.
What is groin flap?
The groin flap is a vascularized axial flap based on the superficial circumflex iliac artery arising from the femoral artery just below the inguinal ligament. It is used regularly by many reconstructive surgeons for covering soft tissue defects of the hand.
How long does it take for a muscle flap to heal?
It takes approximately two months for swelling and bruising to go away and up to two years for tissues to heal. Patients should plan to wear a surgical bra for six to eight weeks and to refrain from heavy exercise and certain sexual activities during this time.
When should I split my groin flap?
In the posttraumatic setting, timing of coverage with a groin flap has become an important issue. In general, most published reports advocate use of the flap in a delayed-primary fashion, specifically between 48 hours and 7 days following injury.
What is pedicled groin flap?
The pedicled groin flap is a useful, versatile flap for coverage of wounds of the hand and distal forearm. It produces predict- able results with a procedure that is much less difficult to perform and takes less time than a free-tissue transfer.
Is the gluteal fasciocutaneous flap used for sacral pressure sores?
The sacral region is one of the most frequent sites of pressure sore development, and local flaps in the gluteal region are usually preferred when surgical closure is needed. The authors used the gluteal fasciocutaneous rotation-advancement flap with V-Y closure to manage sacral pressure sores in 15 …
Can a V-Y flap be converted to a fasciocutaneous flap?
This flap can also be converted to any design of fasciocutaneous or musculocutaneous V-Y advancement flap, should such a change be required. The largest defects that were closed with a unilateral rotationadvancement flap and bilateral rotation-advancement flaps were 12 and 18 cm in diameter, respectively.
What is the role of the buttock rotation flap in skin closure?
The buttock rotation flap was used for skin closure. Methods: Eight patients who underwent APR for low rectal (n = 5) and anal (n = 3) carcinomas had immediate reconstruction with the gluteal muscle and buttock fascio-cutaneous rotation flap. The size of the perineal defects ranged from 5 × 7 to 13 × 9 cm.
What type of flap is used for wound closure?
The design was a combination of the classic rotation and V-Y advancement flap patterns. When the wound was closed, the tension at the distal end of the rotation flap was relieved by flap advancement and the combined rotation-advancement action was supported laterally with V-Y closure.