Abstract
In summary, we continue to include perigracilis fascia to enhance the circulation of the gracilis myofasciocutaneous flap. Our series of 37 flaps in more than 10 years has resulted in only two marginal skin necroses. We are now more cautious, however, to avoid pressure and traction forces when the flap is placed in a dependent and external position, such as near the ischial prominence. In these cases, we use a Fluidair bed in the immediate postoperative period. We are also careful to align the flap in relation to the critical perforators and restrict electrocautery in these areas to maintain flap perfusion.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 635-639 |
| Number of pages | 5 |
| Journal | Plastic and Reconstructive Surgery |
| Volume | 117 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 2006 |
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ASJC Scopus subject areas
- Surgery
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10-Year experience with the gracilis myofasciocutaneous flap. / Reddy, Vikram R.; Stevenson, Thomas R; Whetzel, Thomas P.
In: Plastic and Reconstructive Surgery, Vol. 117, No. 2, 02.2006, p. 635-639.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - 10-Year experience with the gracilis myofasciocutaneous flap
AU - Reddy, Vikram R.
AU - Stevenson, Thomas R
AU - Whetzel, Thomas P.
PY - 2006/2
Y1 - 2006/2
N2 - In summary, we continue to include perigracilis fascia to enhance the circulation of the gracilis myofasciocutaneous flap. Our series of 37 flaps in more than 10 years has resulted in only two marginal skin necroses. We are now more cautious, however, to avoid pressure and traction forces when the flap is placed in a dependent and external position, such as near the ischial prominence. In these cases, we use a Fluidair bed in the immediate postoperative period. We are also careful to align the flap in relation to the critical perforators and restrict electrocautery in these areas to maintain flap perfusion.
AB - In summary, we continue to include perigracilis fascia to enhance the circulation of the gracilis myofasciocutaneous flap. Our series of 37 flaps in more than 10 years has resulted in only two marginal skin necroses. We are now more cautious, however, to avoid pressure and traction forces when the flap is placed in a dependent and external position, such as near the ischial prominence. In these cases, we use a Fluidair bed in the immediate postoperative period. We are also careful to align the flap in relation to the critical perforators and restrict electrocautery in these areas to maintain flap perfusion.
UR - http://www.scopus.com/inward/record.url?scp=33644855259&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33644855259&partnerID=8YFLogxK
U2 - 10.1097/01.prs.0000197209.36783.44
DO - 10.1097/01.prs.0000197209.36783.44
M3 - Article
C2 - 16462350
AN - SCOPUS:33644855259
VL - 117
SP - 635
EP - 639
JO - Plastic and Reconstructive Surgery
JF - Plastic and Reconstructive Surgery
SN - 0032-1052
IS - 2
ER -