Redesigning to V-Y Fasciocutaneous Flaps: Optimizing Outcomes in Patients With Pressure Injuries and Spinal Cord Injuries
Summary:. Surgical treatment for patients with stage 4 pressure injury and spinal cord injury can be difficult because the complication rates are high. Several flaps have been described, but there is no consensus in favor of any flap. The V-Y fasciocutaneous flap, although commonly used, lacks a sim...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-05-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006725 |
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| author | Mario Vélez-Palafox, MD Nelson N. Espinosa-Queb, MD Ángel J. Lara-Valdés, MD Maykel González-Torres, PhD Erik Márquez-Gutiérrez, MD |
| author_facet | Mario Vélez-Palafox, MD Nelson N. Espinosa-Queb, MD Ángel J. Lara-Valdés, MD Maykel González-Torres, PhD Erik Márquez-Gutiérrez, MD |
| author_sort | Mario Vélez-Palafox, MD |
| collection | DOAJ |
| description | Summary:. Surgical treatment for patients with stage 4 pressure injury and spinal cord injury can be difficult because the complication rates are high. Several flaps have been described, but there is no consensus in favor of any flap. The V-Y fasciocutaneous flap, although commonly used, lacks a simple, standardized, step-by-step description. This study introduces a novel, simplified approach to the design and execution of the V-Y flap to improve the outcomes for these patients. This study aimed to evaluate the efficacy of 57 newly planned V-Y fasciocutaneous flaps for achieving predictable and improved outcomes in 40 patients with stage 4 pressure injury and spinal cord injury. Our technique demonstrated notable efficacy in terms of defect coverage (maximum of 196.35 cm²) and linear advancement (maximum of 12 cm). Interestingly, our approach records complication and recurrence rates equal to those of other flap types reported in the literature, with the advantage of not having full or partial necrosis. We describe an easy, highly reproducible, new technique of marking, tracing, dissecting, and advancing the V-Y fasciocutaneous flap so that its simplicity makes it the preferred choice of local flaps for this type of lesion; additionally, this technique is applicable to defects of varying sizes in any anatomical region. |
| format | Article |
| id | doaj-art-034c2263e0104e50b795b8afeb9b667f |
| institution | DOAJ |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-034c2263e0104e50b795b8afeb9b667f2025-08-20T03:14:27ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-05-01135e672510.1097/GOX.0000000000006725202505000-00005Redesigning to V-Y Fasciocutaneous Flaps: Optimizing Outcomes in Patients With Pressure Injuries and Spinal Cord InjuriesMario Vélez-Palafox, MD0Nelson N. Espinosa-Queb, MD1Ángel J. Lara-Valdés, MD2Maykel González-Torres, PhD3Erik Márquez-Gutiérrez, MD4From the * Division of Plastic and Reconstructive Surgery, National Center for Research and Care of Burns, National Institute of Rehabilitation, Mexico City, MexicoFrom the * Division of Plastic and Reconstructive Surgery, National Center for Research and Care of Burns, National Institute of Rehabilitation, Mexico City, MexicoFrom the * Division of Plastic and Reconstructive Surgery, National Center for Research and Care of Burns, National Institute of Rehabilitation, Mexico City, Mexico† Department of Chemical Sciences, Faculty of Higher Studies Cuautitlán, National Autonomous University of Mexico, Mexico City, Mexico.From the * Division of Plastic and Reconstructive Surgery, National Center for Research and Care of Burns, National Institute of Rehabilitation, Mexico City, MexicoSummary:. Surgical treatment for patients with stage 4 pressure injury and spinal cord injury can be difficult because the complication rates are high. Several flaps have been described, but there is no consensus in favor of any flap. The V-Y fasciocutaneous flap, although commonly used, lacks a simple, standardized, step-by-step description. This study introduces a novel, simplified approach to the design and execution of the V-Y flap to improve the outcomes for these patients. This study aimed to evaluate the efficacy of 57 newly planned V-Y fasciocutaneous flaps for achieving predictable and improved outcomes in 40 patients with stage 4 pressure injury and spinal cord injury. Our technique demonstrated notable efficacy in terms of defect coverage (maximum of 196.35 cm²) and linear advancement (maximum of 12 cm). Interestingly, our approach records complication and recurrence rates equal to those of other flap types reported in the literature, with the advantage of not having full or partial necrosis. We describe an easy, highly reproducible, new technique of marking, tracing, dissecting, and advancing the V-Y fasciocutaneous flap so that its simplicity makes it the preferred choice of local flaps for this type of lesion; additionally, this technique is applicable to defects of varying sizes in any anatomical region.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006725 |
| spellingShingle | Mario Vélez-Palafox, MD Nelson N. Espinosa-Queb, MD Ángel J. Lara-Valdés, MD Maykel González-Torres, PhD Erik Márquez-Gutiérrez, MD Redesigning to V-Y Fasciocutaneous Flaps: Optimizing Outcomes in Patients With Pressure Injuries and Spinal Cord Injuries Plastic and Reconstructive Surgery, Global Open |
| title | Redesigning to V-Y Fasciocutaneous Flaps: Optimizing Outcomes in Patients With Pressure Injuries and Spinal Cord Injuries |
| title_full | Redesigning to V-Y Fasciocutaneous Flaps: Optimizing Outcomes in Patients With Pressure Injuries and Spinal Cord Injuries |
| title_fullStr | Redesigning to V-Y Fasciocutaneous Flaps: Optimizing Outcomes in Patients With Pressure Injuries and Spinal Cord Injuries |
| title_full_unstemmed | Redesigning to V-Y Fasciocutaneous Flaps: Optimizing Outcomes in Patients With Pressure Injuries and Spinal Cord Injuries |
| title_short | Redesigning to V-Y Fasciocutaneous Flaps: Optimizing Outcomes in Patients With Pressure Injuries and Spinal Cord Injuries |
| title_sort | redesigning to v y fasciocutaneous flaps optimizing outcomes in patients with pressure injuries and spinal cord injuries |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006725 |
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